| Dr Daniel Krug, OD | |
|
6225 E State Road 64, Bradenton, FL 34208-6244 | |
| (941) 708-2817 | |
| Not Available |
| Full Name | Dr Daniel Krug |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 6225 E State Road 64, Bradenton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407595184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC6066 (Florida) | Primary |
| Provider Name | Krug Family Eye Care P.a. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1538893011 PECOS PAC ID: 9830572619 Enrollment ID: O20220811000193 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Daniel Krug, OD 6225 E State Road 64, Bradenton, FL 34208-6244 Ph: (941) 708-2817 | Dr Daniel Krug, OD 6225 E State Road 64, Bradenton, FL 34208-6244 Ph: (941) 708-2817 |
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