Provider Demographics
NPI:1548430267
Name:KRAMER, JAMES J (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:J
Last Name:KRAMER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:9795 CROSSPOINT BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-3354
Mailing Address - Country:US
Mailing Address - Phone:317-254-6480
Mailing Address - Fax:317-259-8609
Practice Address - Street 1:1501 W OAK ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ZIONSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46077-1840
Practice Address - Country:US
Practice Address - Phone:317-873-4020
Practice Address - Fax:317-259-8609
Is Sole Proprietor?:No
Enumeration Date:2008-03-10
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18001445152W00000X
IN18003539A152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200063790Medicaid
IN000000085967OtherANTHEM
IN110106OtherEYEMED
IN20063790Medicaid
IN13358OtherSPECTERA
INM400036334Medicare PIN
IN200063790Medicaid
IN000000085967OtherANTHEM
IN110106OtherEYEMED
ININ1943005Medicare PIN