MEDICARE: KENNETH J KRIVACIC O.D.

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
1	152W00000X	Optometrist	2928TG	TX
2	152WC0802X	Corneal and Contact Management Optometrist	2928TG	TX

General Provider Information

NPI Number	:	1518025253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KENNETH J KRIVACIC O.D.

Provider Business Mailing Address
First Line	:	7457 LAS COLINAS BLVD
Second Line	:	#100
City	:	IRVING
State	:	TX
Zip	:	75063-7561
Country	:	US
Telephone Number	:	214-382-3061
Fax Number	:	214-382-3071

Provider Business Practice Location Address
First Line	:	7457 LAS COLINAS BLVD
Second Line	:	#100
City	:	IRVING
State	:	TX
Zip	:	75063-7561
Country	:	US
Telephone Number	:	214-382-3061
Fax Number	:	214-382-3071

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	04/30/2015

Similar Medicare Providers

1598754871 — JAMES BYRON MULLINS MD
Practice Location Address:

7449 LAS COLINAS BLVD STE 100
IRVING, TX
75063-7561

Practice Phone: 972-432-8282
Practice Fax: 972-432-0552

1932188844 — THOMAS T CONBOY D.C.
Practice Location Address:

7423 LAS COLINAS BLVD , SUITE 100
IRVING, TX
75063-7561

Practice Phone: 972-401-9100
Practice Fax: 972-401-9102

1669417713 — PROSTATE SEED INSTITUTE
Practice Location Address:

7415 LAS COLINAS BLVD
IRVING, TX
75063-7561

Practice Phone: 214-379-2700
Practice Fax: 214-379-2750

1245241025 — DR. CAROLYN R CARMAN OD
Practice Location Address:

7457 LAS COLINAS BLVD STE 100
IRVING, TX
75063-7561

Practice Phone: 214-382-3061
Practice Fax:

1912011776 — DR. TINA H BUI DDS, MS
Practice Location Address:

7457 LAS COLINAS BLVD , SUITE 101
IRVING, TX
75063-7561

Practice Phone: 972-910-0003
Practice Fax: 866-296-6676

1063572279 — JONATHAN D PARK O.D.
Practice Location Address:

7457 LAS COLINAS BLVD , #100
IRVING, TX
75063-7561

Practice Phone: 214-382-3061
Practice Fax: 214-382-3071

Directions to “ KENNETH J KRIVACIC O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.