Healthcare Provider Details

I. General information

NPI: 1790711422
Provider Name (Legal Business Name): ANN KURZER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 01/21/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6150 GLENWAY AVE
CINCINNATI OH
45211-6319
US

IV. Provider business mailing address

8511 GURNEY CT
DAYTON OH
45458-2678
US

V. Phone/Fax

Practice location:
  • Phone: 513-233-7220
  • Fax: 513-389-0689
Mailing address:
  • Phone: 937-620-3899
  • Fax: 513-741-6433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3810
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number3810
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: