Active NPI
James Krenz, OD
- Optometrist
- Rock Falls, IL
National Provider Identifier
1902864523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 102 W Rock Falls Rd
Rock Falls, IL 61071-0874 - Phone
- (815) 626-7700
- Fax
- (815) 626-0268
- NPI assigned
- May 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
102 W Rock Falls Rd
Rock Falls, IL 61071-0874
Mailing address
PO Box 874
102 W Rock Falls Road
Rock Falls, IL 61071-0874
Phone (815) 626-7700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0416030001 | Other | IL | DMERC |
| 9815400 | Other | IL | BLUECROSS BLUESHIELD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208304000000",
"number": "1902864523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 874",
"address_2": "102 W ROCK FALLS ROAD",
"city": "ROCK FALLS",
"state": "IL",
"postal_code": "610710874",
"telephone_number": "815-626-7700",
"fax_number": "815-626-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W ROCK FALLS RD",
"city": "ROCK FALLS",
"state": "IL",
"postal_code": "610710874",
"telephone_number": "815-626-7700",
"fax_number": "815-626-0268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRENZ",
"first_name": "JAMES",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2008-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "0416030001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS BLUESHIELD",
"identifier": "9815400",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rock Falls, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.