Active NPI
Krueger Optometry LLC
- Optometrist
- Superior, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- KRUEGER OPTOMETRY LLC
- Practice address
- 400 Marshall Rd
Superior, CO 80027-8623 - Phone
- (303) 209-0109
- Fax
- (303) 209-0111
- NPI assigned
- Sep 7, 2022
- Last updated
- Dec 23, 2024
- Organization subpart
- Yes
- Parent organization
- KRUEGER OPTOMETRY LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jennifer Lynn Krueger, OD
- Title
- Owner/Optometrist
- Phone
- (303) 449-3419
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
400 Marshall Rd
Superior, CO 80027-8623
Mailing address
2800 Pearl St
Boulder, CO 80301-1123
Phone (303) 305-6872
National Provider Directory
National Provider Directory- Tax ID family
- Krueger Optometry LLC
- Part of
- Krueger Optometry LLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Boulder, CO
- NPI 1407425275
-
- Optometrist
- Thornton, CO
- NPI 1982444931
Locations
2800 Pearl St
Boulder, CO 80301
Phone (303) 209-0102
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Optometrist
- Boulder, CO
- NPI 1407425275
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Boulder, CO
- NPI 1841890902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734912000000",
"number": "1548981731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 PEARL ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011123",
"telephone_number": "303-305-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MARSHALL RD",
"city": "SUPERIOR",
"state": "CO",
"postal_code": "800278623",
"telephone_number": "303-209-0109",
"fax_number": "303-209-0111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KRUEGER OPTOMETRY LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KRUEGER OPTOMETRY LLC",
"enumeration_date": "2022-09-07",
"last_updated": "2024-12-23",
"certification_date": "2024-12-23",
"status": "A",
"authorized_official_last_name": "KRUEGER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "303-449-3419",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Superior, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.