Provider Demographics
NPI:1730137027
Name:KRINGS, KERRY JO (OD)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:JO
Last Name:KRINGS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29561 295 ST
Mailing Address - Street 2:
Mailing Address - City:PLATTE CENTER
Mailing Address - State:NE
Mailing Address - Zip Code:68653-5026
Mailing Address - Country:US
Mailing Address - Phone:402-246-9266
Mailing Address - Fax:
Practice Address - Street 1:3772 43RD AVE STE A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-1681
Practice Address - Country:US
Practice Address - Phone:402-563-3686
Practice Address - Fax:402-563-3084
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1091152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47055862700Medicaid
NE0313770001Medicare NSC
NE0313770002Medicare NSC
NE47055862700Medicaid
NE099084KRMedicare ID - Type UnspecifiedMEDICARE TAX ID 470558627