Active NPI
John J Kruger, O.D.
- Optometrist
- Omaha, NE
National Provider Identifier
1801956073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 827
- Practice address
- 10000 California St
Ste 2292 Omaha Westroads S C
Omaha, NE 68114-2355 - Phone
- (402) 393-3590
- Fax
- (402) 393-0371
- NPI assigned
- Dec 11, 2006
- Sex
- Male
- 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 | 827 | NE | Primary |
Addresses
Primary practice location
10000 California St
Ste 2292 Omaha Westroads S C
Omaha, NE 68114-2355
Mailing address
1010 Woodview Dr
Papillion, NE 68046-4281
Phone (402) 880-7852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 827 | NE | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients | |
| Pearle Vision Inc | Past | Accepting new patients | |
| Luxottica Retail North America Inc | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801956073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 WOODVIEW DR",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464281",
"telephone_number": "402-880-7852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 CALIFORNIA ST",
"address_2": "STE 2292 OMAHA WESTROADS S C",
"city": "OMAHA",
"state": "NE",
"postal_code": "681142355",
"telephone_number": "402-393-3590",
"fax_number": "402-393-0371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUGER",
"first_name": "JOHN",
"middle_name": "J",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "827",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.