Active NPI
Jennifer Lynn Krueger, OD
- Optometrist
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 0003632
- Practice address
- 2800 Pearl St
Boulder, CO 80301-1123 - Phone
- (303) 449-3419
- Fax
- (303) 449-3411
- NPI assigned
- Oct 28, 2020
- Sex
- Female
- 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 | 0003632 | CO | Primary |
Addresses
Primary practice location
2800 Pearl St
Boulder, CO 80301-1123
Mailing address
615 Main St Ste 1a
Louisville, CO 80027-1894
Phone (303) 666-6320
Other practice location 1
1001 E 120th Ave
Thornton, CO 80233-5711
Phone (303) 280-0971
Other practice location 2
400 Marshall Rd
Superior, CO 80027-8623
Phone (303) 474-1755
Other practice location 3
615 Main St Ste 1A
Louisville, CO 80027-1894
Phone (303) 666-6520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2800 Pearl St
Boulder, CO 80301-1123
Phone (303) 449-3419
615 Main St
Suite 1a
Louisville, CO 80027-1894
Phone (303) 666-6320
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0003632 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krueger Optometry LLC | Optometrist | Current | Accepting new patients |
| Krueger Optometry LLC | Optometrist | Current | Accepting new patients |
| Luxottica of America Inc | Past | Accepting new patients |
Locations
2800 Pearl St
Boulder, CO 80301
Phone (303) 209-0102
615 Main St
Ste 1A
Superior, CO 80027
Phone (303) 666-6320
400 Marshall Rd
Superior, CO 80027
Phone (303) 209-0107
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.
-
- Optometrist
- Louisville, CO
- NPI 1174331078
-
- Optometrist
- Boulder, CO
- NPI 1407425275
-
- Eyewear Supplier
- Kansas City, MO
- NPI 1497412522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759795200000",
"number": "1841890902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 MAIN ST STE 1A",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800271894",
"telephone_number": "303-666-6320",
"fax_number": "303-666-6520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 PEARL ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011123",
"telephone_number": "303-449-3419",
"fax_number": "303-449-3411"
}
],
"practiceLocations": [
{
"address_1": "1001 E 120th Ave",
"address_purpose": "LOCATION",
"city": "Thornton",
"state": "CO",
"postal_code": "802335711",
"country_code": "US",
"telephone_number": "303-280-0971",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 Marshall Rd",
"address_purpose": "LOCATION",
"city": "Superior",
"state": "CO",
"postal_code": "800278623",
"country_code": "US",
"telephone_number": "303-474-1755",
"fax_number": "303-474-1753",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "615 Main St Ste 1A",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "CO",
"postal_code": "800271894",
"country_code": "US",
"telephone_number": "303-666-6520",
"fax_number": "303-666-6520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KRUEGER",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-28",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CO",
"license": "0003632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.