NPIMap

Organization Active NPI

William D Dellande OD PC & J Andrew Kramer OD PC Partners

  • Optometrist
  • Columbia, MO
National Provider Identifier
1154594422
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02679 Issued in MO
Legal business name
WILLIAM D DELLANDE OD PC & J ANDREW KRAMER OD PC PARTNERS
Practice address
111 E Broadway Ste 310
Columbia, MO 65203-4208
Phone
(573) 449-4188
Fax
(573) 443-2842
NPI assigned
Apr 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
James Andrew Kramer, ODNPI 1760575187
Title
Partner
Phone
(573) 449-4188

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X T02679 MO Primary

Addresses

Primary practice location

111 E Broadway Ste 310
Columbia, MO 65203-4208

Mailing address

111 E Broadway Ste 310
Columbia, MO 65203-4208
Phone (573) 449-4188

National Provider Directory

National Provider Directory

Locations

111 E Broadway
Ste 310
Columbia, MO 65203
Phone (573) 449-4188

3901 S Providence Rd
Ste B
Columbia, MO 65203
Phone (573) 449-4188

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1154594422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E BROADWAY STE 310",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034208",
            "telephone_number": "573-449-4188",
            "fax_number": "573-443-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E BROADWAY STE 310",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652034208",
            "telephone_number": "573-449-4188",
            "fax_number": "573-443-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D DELLANDE OD PC & J ANDREW KRAMER OD PC PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "573-449-4188",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.