Individual
MR. JACOB J KRIEG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
416 VALLEY VIEW DR, STE 100, SCOTTSBLUFF, NE 69361-1486
(308) 635-1633
(308) 635-2880
Mailing address
416 VALLEY VIEW DR, STE #100, SCOTTSBLUFF, NE 69361-2422
(308) 635-1633
(308) 635-2880
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
876
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
507114125
—
NE
Enumeration date
06/27/2005
Last updated
08/19/2008
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