Provider Demographics
NPI:1689807836
Name:KEMMERER, JANET ELIZABETH (OD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:ELIZABETH
Last Name:KEMMERER
Suffix:
Gender:F
Credentials:OD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:6124 BLEST LANE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23237-2295
Mailing Address - Country:US
Mailing Address - Phone:804-279-9141
Mailing Address - Fax:804-279-9140
Practice Address - Street 1:6124 BLEST LANE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23237-2295
Practice Address - Country:US
Practice Address - Phone:804-279-9141
Practice Address - Fax:804-279-9140
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000393152W00000X, 152WV0400X
VA0119003841225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist