Healthcare Provider Details

I. General information

NPI: 1235512286
Provider Name (Legal Business Name): CARL EDWARD KRAMER OD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2015
Last Update Date: 02/24/2025
Certification Date: 02/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21020 W 151ST ST
OLATHE KS
66061-7200
US

IV. Provider business mailing address

21020 W 151ST ST
OLATHE KS
66061-7200
US

V. Phone/Fax

Practice location:
  • Phone: 913-829-5511
  • Fax: 913-829-5571
Mailing address:
  • Phone: 913-829-5511
  • Fax: 913-829-5571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number2031
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number20150228811
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: