Individual provider Active NPI

Jennifer Lynn Krueger, OD

  • Optometrist
  • Boulder, CO
National Provider Identifier
1841890902
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003632 Issued in CO
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

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210830000885 CO Practitioner - Optometry 8123423167 Reassigns benefits to 2 organizations

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

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003632COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Krueger Optometry LLC Optometrist CurrentSince Aug 17, 2021 Accepting new patients
Krueger Optometry LLC Optometrist CurrentSince May 26, 2021 Accepting new patients
Luxottica of America Inc PastSince Nov 1, 2020 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.

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

Verify at the official NPI Registry.