Individual provider Active NPI

David Michael Kraus, O.D.

  • Optometrist
  • North Haven, CT
National Provider Identifier
1982707238
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CT2582 Issued in CT
Practice address
212 Universal Dr N
North Haven, CT 06473-3143
Phone
(203) 906-6164
Fax
(203) 364-9680
NPI assigned
Sep 5, 2006
Last updated
Mar 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CT2582 CT Primary
Corneal and Contact Management Optometrist 152WC0802X CT2582 CT

Addresses

Primary practice location

212 Universal Dr N
North Haven, CT 06473-3143

Mailing address

7 Jacobs LN
Newtown, CT 06470-2654
Phone (203) 906-6164

Other identifiers 1

IdentifierTypeStateIssuer
004225810MedicaidCT

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

LicenseStateTypeSpecialty
CT2582CTMDCorneal and Contact Management Optometrist
002582CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Optical Optometrist PastSince Feb 14, 2008 Accepting new patients
Insight by Philips Optical Past Accepting new patients
Stamford Eye Care PC Optometrist PastSince Feb 27, 2017 Accepting new patients
Southern Connecticut Eye Care PC Optometrist PastSince Jan 20, 2012 Accepting new patients

Organizations & group practices 4

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": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1982707238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 JACOBS LN",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702654",
            "telephone_number": "203-906-6164",
            "fax_number": "203-364-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 UNIVERSAL DR N",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733143",
            "telephone_number": "203-906-6164",
            "fax_number": "203-364-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUS",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CT",
            "license": "CT2582",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CT",
            "license": "CT2582",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004225810",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.