Provider Demographics
NPI:1124080833
Name:JAMES J. KRAMER, O.D., P.C.
Entity type:Organization
Organization Name:JAMES J. KRAMER, O.D., P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:KRAMER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:317-873-4020
Mailing Address - Street 1:1500 W OAK ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ZIONSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46077-1826
Mailing Address - Country:US
Mailing Address - Phone:317-873-4020
Mailing Address - Fax:317-873-1030
Practice Address - Street 1:1500 W OAK ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-1826
Practice Address - Country:US
Practice Address - Phone:317-873-4020
Practice Address - Fax:317-873-1030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-06
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN1445152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN13358OtherSPECTERA
IN110106OtherEYEMED
IN000000085967OtherANTHEM
IN110106OtherEYEMED
IN13358OtherSPECTERA
INT35215Medicare UPIN