Provider Demographics
NPI:1790711422
Name:KURZER, ANN (OD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:
Last Name:KURZER
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 1:8511 GURNEY CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-2678
Mailing Address - Country:US
Mailing Address - Phone:937-620-3899
Mailing Address - Fax:513-741-6433
Practice Address - Street 1:6150 GLENWAY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211-6319
Practice Address - Country:US
Practice Address - Phone:513-233-7220
Practice Address - Fax:513-389-0689
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-24
Last Update Date:2019-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3810152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KU0591919Medicare ID - Type Unspecified
OHT48491Medicare UPIN