NPIMap

Organization Active NPI

Dr Lawrence Joseph Kruse OD

  • Optometrist
  • Newark, DE
National Provider Identifier
1912185950
Registry record updated Apr 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
I30001125 Issued in DE
Legal business name
DR LAWRENCE JOSEPH KRUSE OD
Practice address
1421 Kirkwood Highway
Suite 1106
Newark, DE 19711-5705
Phone
(302) 731-7132
Fax
(301) 731-7132
NPI assigned
Feb 1, 2008
Last updated
Apr 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2008

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

Authorized official

Name
Dr. Lawrence Joseph Kruse, ODNPI 1073535571
Title
Dr
Phone
(302) 731-7132

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X I30001125 DE Primary

Addresses

Primary practice location

1421 Kirkwood Highway
Suite 1106
Newark, DE 19711-5705

Mailing address

1421 Kirkwood Highway
Suite 1106 Polly Drymmond Office Park
Newark, DE 19711-5705
Phone (302) 731-7132

Other identifiers 2

IdentifierTypeStateIssuer
0000025822MedicaidDE
1073535571OtherMEDICARE-NPI-SOLO

National Provider Directory

National Provider Directory

Locations

1106 Drummond Plz
Ofc Park
Newark, DE 19711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207785600000",
    "number": "1912185950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 KIRKWOOD HIGHWAY",
            "address_2": "SUITE 1106 POLLY DRYMMOND OFFICE PARK",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115705",
            "telephone_number": "302-731-7132",
            "fax_number": "301-731-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 KIRKWOOD HIGHWAY",
            "address_2": "SUITE 1106",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197115705",
            "telephone_number": "302-731-7132",
            "fax_number": "301-731-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LAWRENCE JOSEPH KRUSE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-04-10",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "302-731-7132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DE",
            "license": "I30001125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000025822",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-NPI-SOLO",
            "identifier": "1073535571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.