Individual provider Active NPI

Curt E Gramelspacher, O.D.

  • Optometrist
  • Jasper, IN
National Provider Identifier
1114056017
Registry record updated Feb 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001955B Issued in IN
Practice address
115 E 9TH St
Jasper, IN 47546-3010
Phone
(812) 482-1990
Fax
(812) 634-6845
NPI assigned
Mar 5, 2007
Last updated
Feb 22, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18001955B IN Primary

Addresses

Primary practice location

115 E 9TH St
Jasper, IN 47546-3010

Mailing address

PO Box 590
Jasper, IN 47547-0590
Phone (812) 482-1990

Other identifiers 1

IdentifierTypeStateIssuer
200115560AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160408001338 IN Practitioner - Optometry 9638284573

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393027200000",
    "number": "1114056017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475470590",
            "telephone_number": "812-482-1990",
            "fax_number": "812-634-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 9TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463010",
            "telephone_number": "812-482-1990",
            "fax_number": "812-634-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMELSPACHER",
        "first_name": "CURT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2014-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001955B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200115560A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

Verify at the official NPI Registry.