Timothy P Kret, O.D.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

2288TG Issued in TX

Practice address

4825 Camp Bowie Blvd
Fort Worth, TX 76107-4150

Phone

(817) 731-4646

Fax

(817) 731-4646

NPI assigned

May 30, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1117411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1669475182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074150",
            "telephone_number": "817-731-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761074150",
            "telephone_number": "817-731-4646",
            "fax_number": "817-731-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRET",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-30",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2288TG",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "TX",
            "license": "2288TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0934564",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #0058FC",
            "identifier": "80813Q",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4502490",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenda Marie Kremer, M.D.
• Timothy Michael Kremer, MD
• Margaret Kaye Krenek, FNP
• Ginger Krentz, NP
• Kret Enterprises, PLLC
• Carol Kretchmar
• Roy G Kreusel, M.D.
• Debra Pearl Krieg, MD, PHD
• Jeffrey L.. Krieger, M.D.
• Sophie R Kriss, OT

• Corneal and Contact Management Optometrist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Corneal and Contact Management Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.