Provider Demographics
NPI:1396115606
Name:KREMER, LINDSEY (OD)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:KREMER
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 1:2765 FORT AMANDA RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-4813
Mailing Address - Country:US
Mailing Address - Phone:419-228-3937
Mailing Address - Fax:
Practice Address - Street 1:2765 FORT AMANDA RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-4813
Practice Address - Country:US
Practice Address - Phone:419-228-3937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-29
Last Update Date:2024-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH006708152W00000X
VA0618002401152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist