P Praxis·MD
● Active Type 1 · Individual

DR. Kelly M. Kruk, D.O., D.A.

Ophthalmology·Saint Simons Island, GA· NPI 1285682435 · Enumerated 2006 · 20 years on NPI
Kruk is 1 of 2 ophthalmology providers in Saint Simons Island and 1 of 807 in Georgia.
NPI age
20 years
Enumerated 2006-05-04
Primary specialty
Ophthalmology
Plus 1 subspecialty
Licensed in
NY, RI
2 states
Status
Active
No deactivations on record
Last NPPES update
2020-08-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 807 active ophthalmology providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
2 states
Top 85% — 14% of peers are multi-state
Subspecialties
1
In the 31% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
10 Fern Ln
Saint Simons Island, GA 315222700
📞 3047161912
Mailing address
10 Fern Ln
Saint Simons Island, GA 315222700
📞 3047161912

Specialties

  • Ophthalmology Primary
    An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
    NY license #271534 taxonomy 207W00000X
  • Acupuncturist
    An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or...
    RI license #DA00245 taxonomy 171100000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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