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GARY PATRICK KRUEGER O.D. NPI 1770627069


NPI Information

NPI: 1770627069
Provider Name: GARY PATRICK KRUEGER, O.D.
Classification: Optometrist - 152W00000X
Entity Type: Individual
Address:
3636 5TH AVE
STE.300
SAN DIEGO, CA
ZIP 92103
Phone: (619) 297-4331
Get Directions

Gary Patrick Krueger, O.D. is an optometrist in San Diego, CA. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. Gary Patrick Krueger, O.D. NPI is 1770627069. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3636 5TH AVE
STE.300
SAN DIEGO, CA
ZIP 92103-230
Phone: (619) 297-4331

The enumeration date for this NPI number is 2/19/2007 and was last updated on 7/8/2007.


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
1152W00000XOptometrist5295TCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W0P4950AMEDICARE UPINCALIFORNIA
2WY4206MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3SD0052950MEDICAIDCALIFORNIA

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

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