Provider Demographics
NPI:1174000426
Name:CRATER, STACY AMBER (OD)
Entity Type:Individual
Prefix:DR
First Name:STACY
Middle Name:AMBER
Last Name:CRATER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6680 DIVISION AVE S
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49548-7834
Mailing Address - Country:US
Mailing Address - Phone:616-455-2525
Mailing Address - Fax:616-455-9135
Practice Address - Street 1:6680 DIVISION AVE S
Practice Address - Street 2:
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49548-7834
Practice Address - Country:US
Practice Address - Phone:616-455-2525
Practice Address - Fax:616-455-9135
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-19
Last Update Date:2020-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005122152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist