MEDICARE: BRITTANY J KRAUSE 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	078579	IA

General Provider Information

NPI Number	:	1801148143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY J KRAUSE O.D.

Provider Business Mailing Address
First Line	:	3025 HAMILTON BLVD
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-2407
Country	:	US
Telephone Number	:	712-255-5869
Fax Number	:

Provider Business Practice Location Address
First Line	:	3025 HAMILTON BLVD
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51104-2407
Country	:	US
Telephone Number	:	712-255-5869
Fax Number	:

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

Provider Enumeration Date	:	10/10/2012
Last Update Date	:	01/15/2019

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