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NPI Code Detail

MEDICARE: DR. ROBERT JOHN KRAUEL O D

MEDICARE: DR. ROBERT JOHN KRAUEL 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
1152W00000XOptometrist1438ATIOR

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 : 1871666370
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT JOHN KRAUEL O D
Provider Business Mailing Address
First Line : 229 N EGAN AVE
Second Line :
City : BURNS
State : OR
Zip : 97720-1741
Country : US
Telephone Number : 541-573-2020
Fax Number : 541-573-2797
Provider Business Practice Location Address
First Line : 229 N EGAN AVE
Second Line :
City : BURNS
State : OR
Zip : 97720-1741
Country : US
Telephone Number : 541-573-2020
Fax Number : 541-573-2797
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2006
Last Update Date : 10/31/2008

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Directions to “ DR. ROBERT JOHN KRAUEL O D” Practice Location

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