MEDICARE: KRAMER & NEWCOMB OD, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

General Provider Information

NPI Number	:	1306918305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRAMER & NEWCOMB OD, PC

Provider Business Mailing Address
First Line	:	PO BOX 80
Second Line	:
City	:	BUFFALO
State	:	MO
Zip	:	65622-0080
Country	:	US
Telephone Number	:	417-345-2901
Fax Number	:	417-345-2904

Provider Business Practice Location Address
First Line	:	112 W COMMERCIAL ST
Second Line	:
City	:	BUFFALO
State	:	MO
Zip	:	65622-7614
Country	:	US
Telephone Number	:	417-345-2901
Fax Number	:	417-345-2904

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAVID L KRAMER
Credential	:	O.D.
Telephone Number	:	417-345-2901

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	04/08/2008

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