NPI 1912185950 · live from the CMS NPI Registry
Dr Lawrence Joseph Kruse OD
Optometrist in Newark, DE. National Provider Identifier 1912185950, active.
NPI record
| NPI | 1912185950 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1421 Kirkwood Highway, Suite 1106, Newark, DE 19711 |
| Practice phone | 302-731-7132 |
| Mailing address | 1421 Kirkwood Highway, Suite 1106 Polly Drymmond Office Park, Newark, DE 19711 |
| Enumerated | February 1, 2008 |
| Last updated | April 10, 2008 |
| Authorized official | Lawrence Kruse, Dr |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | I30001125 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.