MEDICARE: DR. JEFFERY A CRAMER O.D.

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	1276-3	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205828191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFERY A CRAMER O.D.

Provider Business Mailing Address
First Line	:	927 S KANSAS AVE
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66612-1210
Country	:	US
Telephone Number	:	785-234-6649
Fax Number	:	785-234-6653

Provider Business Practice Location Address
First Line	:	927 S KANSAS AVE
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66612-1210
Country	:	US
Telephone Number	:	785-234-6649
Fax Number	:	785-234-6653

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	03/05/2013

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