MEDICARE: KATHRYN MELTON KRAMER 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	6073	OH

General Provider Information

NPI Number	:	1265729073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN MELTON KRAMER O.D.

Provider Business Mailing Address
First Line	:	431 W 1ST AVE
Second Line	:	APT 205
City	:	COLUMBUS
State	:	OH
Zip	:	43201-3518
Country	:	US
Telephone Number	:	330-620-6024
Fax Number	:

Provider Business Practice Location Address
First Line	:	881 W 3RD AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-3106
Country	:	US
Telephone Number	:	614-291-9400
Fax Number	:	614-291-9401

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

Provider Enumeration Date	:	06/30/2011
Last Update Date	:	05/10/2016

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