Provider Demographics
NPI:1629258116
Name:SCHRAGE, KRIS ROBERT
Entity Type:Individual
Prefix:MR
First Name:KRIS
Middle Name:ROBERT
Last Name:SCHRAGE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3353 S US HIGHWAY 41
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-3727
Mailing Address - Country:US
Mailing Address - Phone:812-234-3937
Mailing Address - Fax:
Practice Address - Street 1:3353 S US HIGHWAY 41
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47802-3727
Practice Address - Country:US
Practice Address - Phone:812-234-3937
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter