NPIMap

Organization Active NPI

Krueger Optometry LLC

  • Optometrist
  • Thornton, CO
National Provider Identifier
1982444931
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KRUEGER OPTOMETRY LLC
Practice address
1001 E 120TH Ave
Thornton, CO 80233-5711
Phone
(303) 280-0971
Fax
(303) 280-6757
NPI assigned
May 28, 2024
Organization subpart
Yes
Parent organization
KRUEGER OPTOMETRY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Authorized official

Name
Dr. Jennifer Lynn Krueger, OD
Title
Optometrist
Phone
(303) 280-0971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1001 E 120TH Ave
Thornton, CO 80233-5711

Mailing address

2800 Pearl St
Boulder, CO 80301-1123
Phone (303) 449-3419

National Provider Directory

National Provider Directory
Tax ID family
Krueger Optometry LLC4 organizations share this tax ID, including this one
Part of
Krueger Optometry LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1001 E 120th Ave
Thornton, CO 80233
Phone (303) 280-0971

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1982444931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PEARL ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011123",
            "telephone_number": "303-449-3419",
            "fax_number": "303-449-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 E 120TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802335711",
            "telephone_number": "303-280-0971",
            "fax_number": "303-280-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRUEGER OPTOMETRY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KRUEGER OPTOMETRY LLC",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "303-280-0971",
        "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 Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.