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DR. JERRY KRALOVANSKY O.D.
NPI 1720154560
Optometrist in Plymouth, IN

Active since November 24, 2006
109 N WALNUT ST, PLYMOUTH, IN 46563(574) 936-2272(574) 936-1283 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jerry Kralovansky O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY KRALOVANSKY O.D. (NPI 1720154560) is an individual optometrist in Plymouth, Indiana, licensed in Indiana (18001833) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1720154560
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JERRY KRALOVANSKYCredential: O.D.
Location Address109 N WALNUT STPlymouth, IN 46563-2142
Mailing Address109 N Walnut StPlymouth, IN 46563-2142 · (574) 936-2272 · Fax (574) 936-1283
Phone(574) 936-2272
Fax(574) 936-1283
Sole ProprietorYes
Enumeration DateNovember 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720154560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IN · 18001833
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
109 N WALNUT ST, Plymouth, IN 46563
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Other Identifiers 2

Medicare ID-Type Unspecified511300IN
Medicare UPINT34900IN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLISON GARMON, O.D., LLC
Optometrist
109 N WALNUT ST
PLYMOUTH, IN 46563
Marshall County (574) 936-2272
DR. ALLISON MARIE GARMON OD
Optometrist
109 N WALNUT ST
PLYMOUTH, IN 46563
Marshall County (574) 936-2272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry Kralovansky's NPI number?

The NPI number for Jerry Kralovansky is 1720154560. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Jerry Kralovansky located?

Jerry Kralovansky practices at 109 N Walnut St, Plymouth, IN 46563. The listed phone number is (574) 936-2272.

What is Jerry Kralovansky's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jerry Kralovansky was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.