Basic Information
| Provider Information | |||||||||
| NPI: | 1669442166 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | KRAUSS | ||||||||
| FirstName: | HENRY | ||||||||
| MiddleName: | FREDERICK | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 660 W CAMPBELL RD | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | RICHARDSON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750803469 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9722313439 | ||||||||
| FaxNumber: | 9722310260 | ||||||||
| Practice Location | |||||||||
| Address1: | 660 W CAMPBELL RD | ||||||||
| Address2: | SUITE 102 | ||||||||
| City: | RICHARDSON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750803469 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9722313439 | ||||||||
| FaxNumber: | 9722310260 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2006 | ||||||||
| LastUpdateDate: | 02/29/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/29/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152W00000X | 2722TG | TX | Y | Eye and Vision Services Providers | Optometrist |
No ID Information.