JENNIFER NICOLE KRUID (OD) – Optometrist, NPI 1437036910

JENNIFER NICOLE KRUID (OD) is a healthcare provider. based in Eugene, Oregon. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 4796 (OR). The NPI Number for JENNIFER NICOLE KRUID (OD) is 1437036910

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
JENNIFER NICOLE KRUID (OD)
NPI
1437036910
Phone
Not provided
Address
1011 VALLEY RIVER WAY STE 110
Enumeration Date
18 August 2025
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5417622763
Graduation Year
2025 (1 year ago)
PAC ID
7012413172
Group Practice PAC ID
3173773694
Professional Enrollment ID
I20250929003168
Address ID
OR974012127EU1011XWAYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

672 OPTOMETRY in OR

Provider Addresses for JENNIFER NICOLE KRUID (OD)

  • 1011 VALLEY RIVER WAY STE 110

    EUGENE, OR 974012127

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250929003168IOptometryORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173773694View full group profile
NameSpecialtyState
Physician AssistantOR
O P H T H A L M O L O G YOR
O P T O M E T R YOR
O P H T H A L M O L O G YMD
O P T O M E T R YOR
-OR
O P T O M E T R YOR
-OR
O P H T H A L M O L O G YIL

Reviews

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Frequently asked questions

What is the 10-digit NPI for JENNIFER NICOLE KRUID (OD)?
JENNIFER NICOLE KRUID (OD) — NPI 1437036910 — is the standard way to identify this listing.
Can I rely on JENNIFER NICOLE KRUID (OD) being an active provider?
As of the registry snapshot, JENNIFER NICOLE KRUID (OD) is marked active.
What healthcare role does JENNIFER NICOLE KRUID (OD) hold?
Scheduling teams often label JENNIFER NICOLE KRUID (OD) under Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for JENNIFER NICOLE KRUID (OD)?
JENNIFER NICOLE KRUID (OD)'s geographic hint is Eugene, Oregon in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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