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JILL KRONBERG O.D. NPI 1588914071


NPI Information

NPI: 1588914071
Provider Name: JILL KRONBERG, O.D.
Classification: Optometrist - 152WP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
7960 W RIFLEMAN ST
SUITE 150
BOISE, ID
ZIP 83704
Phone: (208) 377-8899
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Jill Kronberg, O.D. is a pediatrics optometrist in Boise, ID with 12 years of experience. The provider is optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. Jill Kronberg, O.D. NPI is 1588914071. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduation Year:2012

The provider's business location address is:

7960 W RIFLEMAN ST
SUITE 150
BOISE, ID
ZIP 83704-064
Phone: (208) 377-8899

The NPI 1588914071 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 9/12/2012 and was last updated on 7/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist14518CALIFORNIANo
2152WP0200XOptometristPediatricsODP-100270IDAHOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.