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NPI Code Detail

MEDICARE: ERIC MARCUS KRAFF O.D.

MEDICARE:   ERIC MARCUS KRAFF  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
1390200000XStudent in an Organized Health Care Education/Training Program
2152W00000XOptometrist0618002566VA

General Provider Information

NPI Number : 1679009443
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC MARCUS KRAFF O.D.
Provider Business Mailing Address
First Line : 807 SETTLERS RD
Second Line :
City : TAMPA
State : FL
Zip : 33613-1622
Country : US
Telephone Number : 813-598-8532
Fax Number :
Provider Business Practice Location Address
First Line : 3800 FAIRFAX DR STE 1
Second Line :
City : ARLINGTON
State : VA
Zip : 22203-1703
Country : US
Telephone Number : 703-522-3454
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/11/2017
Last Update Date : 02/15/2022

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Directions to “ ERIC MARCUS KRAFF O.D.” Practice Location

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