Active NPI
Thomas R Kroll OD Chartered
- Optometrist
- Henderson, NV
National Provider Identifier
1972799302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- THOMAS R KROLL OD CHARTERED
- Practice address
- 305 N Pecos Rd
Suite a
Henderson, NV 89074-1351 - Phone
- (702) 737-0003
- Fax
- (702) 737-0321
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas R Kroll, OD
- Title
- Owner/Pre
- Phone
- (702) 737-0003
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
305 N Pecos Rd
Suite a
Henderson, NV 89074-1351
Mailing address
305 N Pecos Rd
Suite a
Henderson, NV 89074-1351
Phone (702) 737-0003
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190160000000",
"number": "1972799302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 N PECOS RD",
"address_2": "SUITE A",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890741351",
"telephone_number": "702-737-0003",
"fax_number": "702-737-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 N PECOS RD",
"address_2": "SUITE A",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890741351",
"telephone_number": "702-737-0003",
"fax_number": "702-737-0321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS R KROLL OD CHARTERED",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2007-09-19",
"status": "A",
"authorized_official_last_name": "KROLL",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER/PRE",
"authorized_official_telephone_number": "702-737-0003",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.