Individual provider Active NPI

Bruce Allen Krawiecki, O.D.

  • Optometrist
  • Humble, TX
National Provider Identifier
1821093014
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3494TG Issued in TX
Practice address
18850 S Memorial Dr
Humble, TX 77338-4288
Phone
(713) 275-2457
Fax
(713) 275-2466
NPI assigned
Jun 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 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 3494TG TX Primary

Addresses

Primary practice location

18850 S Memorial Dr
Humble, TX 77338-4288

Mailing address

18850 S Memorial Dr
Humble, TX 77338-4288
Phone (713) 275-2457

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
I20100917000952 TX Practitioner - Optometry 8729059746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Eye Center, PAGroup PAC ID 4082513379, 48 clinicians

Practice addresses (Care Compare)

18850 S Memorial Blvd
Humble, TX 77338-4288
Phone (281) 446-7900

Merit-based Incentive Payment System (MIPS)

Final score
87.12 of 100Reported as group
Quality
89.41
Promoting interoperability
88
Improvement activities
40
Cost
77.66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mann Eye Center Optometrist CurrentSince Jul 1, 2003 Accepting new patients
Mann Eye Center, PA Optometrist CurrentSince Jul 1, 2003 Accepting new patients
Mann Eye Center, PA Past Accepting new patients

Locations

429 W Southline St
Ste 200
Cleveland, TX 77327
Phone (281) 592-4343

18850 S Memorial Dr
Humble, TX 77338
Phone (281) 446-7900

Interoperability endpoints

  • Direct secure messaging: bkrawiecki@manneye.emadirect.md

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1821093014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18850 S MEMORIAL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384288",
            "telephone_number": "713-275-2457",
            "fax_number": "713-275-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18850 S MEMORIAL DR",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384288",
            "telephone_number": "713-275-2457",
            "fax_number": "713-275-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAWIECKI",
        "first_name": "BRUCE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3494TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.