Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristanza Marie Bronnenberg, OD

Individual provider Optometrist · NPI 1801437140

Kristanza Marie Bronnenberg, OD is an Optometry in Cody, Wyoming. Graduated from Southern California College of Optometry in 2020, 6 years ago. Practices with Basin Vision Center, P. C., a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
6
Trained at
Southern California College of Optometry
Licensed in
WY
In the registry since
2019
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

620 19th St
Cody, WY 82414-3305
Phone: (307) 587-4206
Fax: (307) 587-5539
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5460 E La Palma Ave, Anaheim, CA 92807-2023 — (714) 463-7500

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 429T (WY)

Record details

NPI number1801437140
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 7, 2019
Last updated in NPPESDecember 18, 2020
Certification dateDecember 10, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2020 (6 years in practice)
Group practice Basin Vision Center, P. C. — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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