Provider Demographics
NPI:1912012923
Name:HOWARD I KRAUSZ
Entity Type:Organization
Organization Name:HOWARD I KRAUSZ
Other - Org Name:HIDDEN VALLEY EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER OF PRACTICE
Authorized Official - Prefix:
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:I
Authorized Official - Last Name:KRAUSZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-746-3937
Mailing Address - Street 1:1955 CITRACADO PKWY STE 301
Mailing Address - Street 2:
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92029-4113
Mailing Address - Country:US
Mailing Address - Phone:760-746-3937
Mailing Address - Fax:760-746-3991
Practice Address - Street 1:810 E OHIO AVE
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025
Practice Address - Country:US
Practice Address - Phone:760-746-3937
Practice Address - Fax:760-746-3991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG47728207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW15282OtherMEDICARE PTAN
CAW15282Medicare PIN
CAW15282OtherMEDICARE PTAN
CAWG47728AMedicare PIN