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NPI Code Detail

MEDICARE: DR. RICHARD E KRAUS, O.D., INC

MEDICARE: DR. RICHARD E KRAUS, O.D., INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistCA5549TPACA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1316065485
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR. RICHARD E KRAUS, O.D., INC
Provider Business Mailing Address
First Line : 1548 N PALM CANYON DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4410
Country : US
Telephone Number : 760-320-4441
Fax Number : 760-320-5305
Provider Business Practice Location Address
First Line : 1548 N PALM CANYON DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-4410
Country : US
Telephone Number : 760-320-4441
Fax Number : 760-320-5305
Authorized Official
Title or Position : PRESIDENT
Name : DR. RICHARD E KRAUS
Credential : O.D.
Telephone Number : 760-320-4441
Provider Enumeration Date : 03/27/2007
Last Update Date : 08/22/2020

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