Individual provider Active NPI

Perry L Krieger, OD

  • Optometrist
  • Cedar Falls, IA
National Provider Identifier
1902943335
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01835 Issued in IA
Practice address
6301 University Ave
Cedar Falls, IA 50613-5200
Phone
(319) 268-1966
Fax
(319) 268-1957
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 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 01835 IA Primary

Addresses

Primary practice location

6301 University Ave
Cedar Falls, IA 50613-5200

Mailing address

6301 University Ave
Cedar Falls, IA 50613-5200
Phone (319) 268-1966

Other identifiers 2

IdentifierTypeStateIssuer
06087OtherIAWELLMARK PROVIDER #
06087OtherIADR. KRIEGER NONBILLING #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120203000724 IA Practitioner - Optometry 6204725583 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01835IAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bradley C Parsons OD PC Optometrist CurrentSince Apr 1, 2021 Accepting new patients

Locations

2315 Edgewood Rd SW
Unit 110
Cedar Rapids, IA 52404
Phone (319) 390-4144

Organizations & group practices 1

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": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1902943335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 UNIVERSITY AVE",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135200",
            "telephone_number": "319-268-1966",
            "fax_number": "319-268-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 UNIVERSITY AVE",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506135200",
            "telephone_number": "319-268-1966",
            "fax_number": "319-268-1957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGER",
        "first_name": "PERRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK PROVIDER #",
            "identifier": "06087",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. KRIEGER NONBILLING #",
            "identifier": "06087",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.