Provider Demographics
NPI:1316247273
Name:DR STEVEN MICHAEL KREIGER & ASSOCIATES, INC.
Entity type:Organization
Organization Name:DR STEVEN MICHAEL KREIGER & ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KREIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-782-8150
Mailing Address - Street 1:133 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:RI
Mailing Address - Zip Code:02879-3511
Mailing Address - Country:US
Mailing Address - Phone:401-782-8150
Mailing Address - Fax:401-783-9710
Practice Address - Street 1:133 MAIN ST
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:RI
Practice Address - Zip Code:02879-3511
Practice Address - Country:US
Practice Address - Phone:401-782-8150
Practice Address - Fax:401-783-9710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIODTG00464152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI419007219Medicare PIN