Individual
JAIMIE LYNN KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
17520 WRIGHT ST STE 105, OMAHA, NE 68130-4657
(402) 614-3200
(402) 614-7070
Mailing address
17520 WRIGHT ST STE 105, OMAHA, NE 68130-4657
(402) 614-3200
(402) 614-7070
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
02353
IA
152W00000X
Optometrist
Primary
1260
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02353
OPTOMETRY LICENSE
IA
01
—
1260
OPTOMETRY LICENSE
NE
Enumeration date
07/21/2006
Last updated
07/08/2007
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