Active NPI
Ella Mantel Kryger, O.D.
- Optometrist
- Colma, CA
National Provider Identifier
1922150333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 12830
- Practice address
- 53 Colma Blvd
Ste F2 280 Metro Center
Colma, CA 94014-3231 - Phone
- (650) 992-2700
- Fax
- (650) 992-3215
- NPI assigned
- Jan 17, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 | OPT 12830 | CA | Primary |
Addresses
Primary practice location
53 Colma Blvd
Ste F2 280 Metro Center
Colma, CA 94014-3231
Mailing address
1170 Welch Rd
#731
Palo Alto, CA 94304-1903
Phone (650) 497-0086
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT 12830 | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc. | Past | Accepting new patients | |
| Luxottica of America Inc | Past | Accepting new patients | |
| Luxottica of America Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922150333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1170 WELCH RD",
"address_2": "#731",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041903",
"telephone_number": "650-497-0086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 COLMA BLVD",
"address_2": "STE F2 280 METRO CENTER",
"city": "COLMA",
"state": "CA",
"postal_code": "940143231",
"telephone_number": "650-992-2700",
"fax_number": "650-992-3215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRYGER",
"first_name": "ELLA",
"middle_name": "MANTEL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT 12830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.