Individual provider Active NPI

Anthony Richard Kruger, OD

  • Optometrist
  • The Woodlands, TX
National Provider Identifier
1639739162
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9735TG Issued in TX
Practice address
17450 St Lukes Way Ste 100
The Woodlands, TX 77384-8045
Phone
(281) 363-3443
Fax
(936) 271-1351
NPI assigned
Jun 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9735T TX
Optometrist 152W00000X 9735TG TX Primary

Addresses

Primary practice location

17450 St Lukes Way Ste 100
The Woodlands, TX 77384-8045

Mailing address

12923 Enchanted Dr
Cypress, TX 77429-2267
Phone (713) 562-6116

Other practice location 1

12923 Enchanted Dr
Cypress, TX 77429-2267
Phone (713) 562-6116

Other practice location 2

3100 Weslayan St Ste 400
Houston, TX 77027-5752
Phone (713) 526-1600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address akruger@direct.berkeleyeye.com Berkeley Eye Institute, PLLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20210106000953 TX Practitioner - Optometry 8921411257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Berkeley Eye Institute, PLLCGroup PAC ID 4082602156, 62 clinicians

Practice addresses (Care Compare)

3100 Weslayan St
Suite 400
Houston, TX 77027-5752
Phone (713) 526-1600

605 Medical CT
Suite 203
Brenham, TX 77833-5406
Phone (979) 830-1444

Merit-based Incentive Payment System (MIPS)

Final score
89.82 of 100Reported as group
Quality
81.48
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9735TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Berkeley Eye Institute, PLLC Optometrist CurrentSince Feb 1, 2021 Accepting new patients
Berkeley Eye Institute, PLLC Optometrist CurrentSince Feb 1, 2021 Accepting new patients
Clear Lake Eye Center LLP Optometrist Past Accepting new patients

Locations

605 Medical Ct
Ste 203
Brenham, TX 77833
Phone (979) 353-5556

8731 Katy Fwy
Ste 300
Houston, TX 77024
Phone (713) 424-4824

3100 Weslayan St
Ste 400
Houston, TX 77027
Phone (713) 526-1600

12140 East Fwy
Houston, TX 77029
Phone (832) 995-2613

22741 Professional Dr
Kingwood, TX 77339
Phone (281) 319-4334

1535 Cullen Blvd
Ste 200
Pearland, TX 77581
Phone (713) 436-1551

143 Vision Park Blvd
Shenandoah, TX 77384
Phone (281) 363-3443

3929 Woodsons Reserve Pkwy
Spring, TX 77386
Phone (346) 423-6443

1435 Highway 6
Ste 202
Sugar Land, TX 77478
Phone (281) 478-9889

17450 St Lukes Way
Ste 100
The Woodlands, TX 77384
Phone (281) 363-3443

14030 FM 2920 Rd
Ste E
Tomball, TX 77377
Phone (281) 351-0744

1602 N Fulton St
Wharton, TX 77488
Phone (979) 532-0805

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1639739162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12923 ENCHANTED DR",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774292267",
            "telephone_number": "713-562-6116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17450 ST LUKES WAY STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773848045",
            "telephone_number": "281-363-3443",
            "fax_number": "936-271-1351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12923 Enchanted Dr",
            "address_purpose": "LOCATION",
            "city": "Cypress",
            "state": "TX",
            "postal_code": "774292267",
            "country_code": "US",
            "telephone_number": "713-562-6116",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Weslayan St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770275752",
            "country_code": "US",
            "telephone_number": "713-526-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "ANTHONY",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9735T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9735TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akruger@direct.berkeleyeye.com",
            "affiliation": "Y",
            "affiliationName": "Berkeley Eye Institute, PLLC",
            "address_1": "17450 St Lukes Way Ste 100",
            "city": "The Woodlands",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773848045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in The Woodlands, TX

Sources for this page

Verify at the official NPI Registry.