| NPI | 1962742627 |
|---|---|
| Former Name | CASSANDRA JEAN KRUEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3452) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10882T) |
| 152W00000X Optometrist (Licence: ND 712) | |
| 152W00000X Optometrist (Licence: FL TPOP105) | |
| 152W00000X Optometrist (Licence: WI 3712-35) | |
| 152W00000X Optometrist (Licence: ME OPT1061) | |
| 152W00000X Optometrist (Licence: VA 0618003163) | |
| 152W00000X Optometrist (Licence: NY 009621) | |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2023-10-09 |