Provider Demographics
NPI:1821345562
Name:RAMER, GREGORY A (OD)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:A
Last Name:RAMER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1629 AIRPORT RD STE C
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:AR
Mailing Address - Zip Code:71913-8069
Mailing Address - Country:US
Mailing Address - Phone:501-767-0602
Mailing Address - Fax:
Practice Address - Street 1:1629 AIRPORT RD STE C
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-8069
Practice Address - Country:US
Practice Address - Phone:501-767-0602
Practice Address - Fax:501-767-5282
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2679152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist