Active NPI
Christine Anderson Kreide, OD
- Optometrist
- Pooler, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT1194
- Practice address
- 1370 US Highway 80 E
Ste E
Pooler, GA 31322-8902 - Phone
- (912) 965-9605
- Fax
- (912) 965-9604
- NPI assigned
- Jun 16, 2006
- Last updated
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT1194 | GA | Primary |
Addresses
Primary practice location
1370 US Highway 80 E
Ste E
Pooler, GA 31322-8902
Mailing address
125 Grand View Dr
Pooler, GA 31322-4043
Phone (912) 655-2120
Other names 1
- Christine Anderson Kreide
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT1194 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Current | Accepting new patients |
| Myeyedr Optometry of Georgia, LLC | Optometrist | Past | Accepting new patients |
| Eye Pros | Past | Accepting new patients |
Locations
4875 Altama Ave
Brunswick, GA 31520
Phone (912) 554-0010
105 Grand Central Blvd
Ste 110
Pooler, GA 31322
Phone (912) 450-9200
594 S Columbia Ave
Ste 200
Rincon, GA 31326
Phone (912) 826-0935
8614 Westwood Center Dr
Fl 9
Vienna, VA 22182
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Pooler, GA
- NPI 1659312452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1598709537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 GRAND VIEW DR",
"city": "POOLER",
"state": "GA",
"postal_code": "313224043",
"telephone_number": "912-655-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 US HIGHWAY 80 E",
"address_2": "STE E",
"city": "POOLER",
"state": "GA",
"postal_code": "313228902",
"telephone_number": "912-965-9605",
"fax_number": "912-965-9604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREIDE",
"first_name": "CHRISTINE",
"middle_name": "ANDERSON",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-16",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "GA",
"license": "OPT1194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "KREIDE",
"middle_name": "ANDERSON",
"credential": "OD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.