NPIMap

Organization Active NPI

Krok and Shen Optometrists Inc

  • Optometrist
  • Santa Cruz, CA
National Provider Identifier
1891999660
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KROK AND SHEN OPTOMETRISTS INC
Practice address
1101 Pacific Ave
Suite E
Santa Cruz, CA 95060-7505
Phone
(831) 466-3937
Fax
(831) 466-3421
NPI assigned
Jun 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Authorized official

Name
Stephanie Krok, O.D.NPI 1043394406
Title
Optometrist
Phone
(831) 466-3937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1101 Pacific Ave
Suite E
Santa Cruz, CA 95060-7505

Mailing address

1101 Pacific Ave
Suite E
Santa Cruz, CA 95060-7505
Phone (831) 466-3937

Other names 1

  • eyeQ optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170330002653 CA Part B Supplier - Clinic/Group Practice 5496030686 Receives reassigned benefits from 8 practitioners
Practice locations: Santa Cruz, CA

National Provider Directory

National Provider Directory

Locations

1101 Pacific Ave
Ste E
Santa Cruz, CA 95060
Phone (831) 466-3937

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1891999660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 PACIFIC AVE",
            "address_2": "SUITE E",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607505",
            "telephone_number": "831-466-3937",
            "fax_number": "831-466-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 PACIFIC AVE",
            "address_2": "SUITE E",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607505",
            "telephone_number": "831-466-3937",
            "fax_number": "831-466-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KROK AND SHEN OPTOMETRISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "KROK",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "831-466-3937",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "eyeQ optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.