Provider Demographics
NPI:1376830604
Name:BRAMMER, LAURA JEAN (OD)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:JEAN
Last Name:BRAMMER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MRS
Other - First Name:LAURA
Other - Middle Name:JEAN
Other - Last Name:BRAMMER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:13600 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64145-1670
Mailing Address - Country:US
Mailing Address - Phone:816-888-5400
Mailing Address - Fax:816-888-5401
Practice Address - Street 1:13600 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64145-1670
Practice Address - Country:US
Practice Address - Phone:816-888-5400
Practice Address - Fax:816-888-5401
Is Sole Proprietor?:No
Enumeration Date:2011-07-07
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1896152W00000X
MO2023036403152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist