Kyle Kram, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901005422 Issued in MI

Practice address

3413 Tittabawassee Rd
Saginaw, MI 48604-9489

Phone

(989) 791-1044

Fax

(989) 791-4366

NPI assigned

Aug 20, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

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

Specialty

Optometry

Education

Ferris State College - College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Poudre Valley Eyecare LLCGroup PAC ID 1153665518, 3 clinicians

Rocky Mountain Family Vision, PCGroup PAC ID 9537206594, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Poudre Valley Eyecare LLC

  • Optometrist
  • Fort Collins, CO
  • NPI 1699259143

  CO, Optometrist

  Medicare reassignment Care Compare group NPD
• Rocky Mountain Family Vision, PC

  • Optometrist
  • Fort Collins, CO
  • NPI 1396977906

  CO, Optometrist

  Medicare reassignment Care Compare group NPD
• Buckingham and Kaminski PLC

  • Optometrist
  • Midland, MI
  • NPI 1205047305
  NPD (past)

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1265089718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CASS AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432204",
            "telephone_number": "586-464-1479",
            "fax_number": "586-464-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 TITTABAWASSEE RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486049489",
            "telephone_number": "989-791-1044",
            "fax_number": "989-791-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAM",
        "first_name": "KYLE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194879023",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Lynn Kowalski
• Chelsea Lou Katie Kozak, LMSW
• Tonya Kay Kozdron, FNP-C
• Emily Kraenzlein
• Bradley Edward Krajkowski, DO
• Martha Rose Kramer
• David Jacob Kramp, MD
• Emily Kranstz
• Mia Krapf, MA, LLPC, RAC
• Tony Krasinski

• All providers in Saginaw, MI
• Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.