Provider Demographics
NPI:1578746152
Name:HENRY F. KRAUSS, JR., O.D., P.A.
Entity Type:Organization
Organization Name:HENRY F. KRAUSS, JR., O.D., P.A.
Other - Org Name:RICHARDSON EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:FREDERICK
Authorized Official - Last Name:KRAUSS
Authorized Official - Suffix:JR
Authorized Official - Credentials:OD
Authorized Official - Phone:972-231-3439
Mailing Address - Street 1:660 W CAMPBELL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3469
Mailing Address - Country:US
Mailing Address - Phone:972-231-3439
Mailing Address - Fax:972-231-0260
Practice Address - Street 1:660 W CAMPBELL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3469
Practice Address - Country:US
Practice Address - Phone:972-231-3439
Practice Address - Fax:972-231-0260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-06
Last Update Date:2020-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2722TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4811190001Medicare NSC
00159SMedicare PIN