Individual provider Active NPI

Laurena Carole Krieger, OD

  • Optometrist
  • Escalon, CA
National Provider Identifier
1659438802
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
10354 Issued in CA
Practice address
1555 Viking St
Escalon, CA 95320-1742
Phone
(209) 838-7263
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10354 CA Primary

Addresses

Primary practice location

1555 Viking St
Escalon, CA 95320-1742

Mailing address

1555 Viking St
Escalon, CA 95320-1742
Phone (209) 838-7263

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
I20160708001284 CA Practitioner - Optometry 9537451752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of California - School of Optometry, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6331 Jackson Ave
Riverbank, CA 95367-2733

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10354CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian E. Elliott, O.D. Optometrist Past Accepting new patients
Modesto Optometric Vision Center Inc a Professional Optometric Corp Optometrist PastSince Sep 4, 2022 Accepting new patients
L.Edward Elliott, O.D. Optometrist PastSince May 20, 2016 Accepting new patients

Organizations & group practices 5

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1659438802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 VIKING ST",
            "city": "ESCALON",
            "state": "CA",
            "postal_code": "953201742",
            "telephone_number": "209-838-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 VIKING ST",
            "city": "ESCALON",
            "state": "CA",
            "postal_code": "953201742",
            "telephone_number": "209-838-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGER",
        "first_name": "LAURENA",
        "middle_name": "CAROLE",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escalon, CA

Sources for this page

Verify at the official NPI Registry.