Individual provider Active NPI

Jeffrey Charles Krohn, O.D.

  • Optometrist
  • Fresno, CA
National Provider Identifier
1609871961
Registry record updated Sep 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8767T Issued in CA
Practice address
5151 N Palm Ave
Ste 150
Fresno, CA 93704-2221
Phone
(559) 229-7202
Fax
(559) 229-2998
NPI assigned
Jun 14, 2005
Last updated
Sep 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8767T CA Primary

Addresses

Primary practice location

5151 N Palm Ave
Ste 150
Fresno, CA 93704-2221

Mailing address

5151 N Palm Ave
Ste 150
Fresno, CA 93704-2221
Phone (559) 229-7202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101203000258 CA Practitioner - Optometry 4688720402 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of California at BerkeleyGroup PAC ID 8628083110, 57 clinicians
Fig Garden Optometry IncGroup PAC ID 7416003223, 4 clinicians

Practice addresses (Care Compare)

200 Minor Hall
Suite 384a
Berkeley, CA 94720-2020
Phone (510) 642-2020

5151 N Palm Ave
Suite 150
Fresno, CA 93704-2221
Phone (559) 229-7202

Merit-based Incentive Payment System (MIPS)

Final score
80.89 of 100Reported as group
Quality
61.78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8767TCAMDOptometrist
8767CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California at Berkeley Optometrist CurrentSince Oct 28, 2023 Accepting new patients
Fig Garden Optometry, Inc. Optometrist CurrentSince Nov 30, 1989 Accepting new patients

Locations

200 Minor Hall
Ste 384A
Berkeley, CA 94720
Phone (510) 642-7844

5151 N Palm Ave
Ste 150
Fresno, CA 93704
Phone (559) 229-7202

Interoperability endpoints

  • Direct secure messaging: jkrohn@direct.revolutionehr.com
  • Direct secure messaging: jkrohn@fgo.direct.kno2fy.com
  • Direct secure messaging: jkrohn348922@direct-ucsfmedicalcenter.org

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190764800000",
    "number": "1609871961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 N PALM AVE",
            "address_2": "STE 150",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042221",
            "telephone_number": "559-229-7202",
            "fax_number": "559-229-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 N PALM AVE",
            "address_2": "STE 150",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042221",
            "telephone_number": "559-229-7202",
            "fax_number": "559-229-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROHN",
        "first_name": "JEFFREY",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8767T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.