Karen Lynne Cramer, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009232 Issued in IL

Practice address

301 W Washington
20/20 Eyecare Solutions, Inc.
East Peoria, IL 61611-2036

Phone

(309) 427-2945

Fax

(309) 427-2946

NPI assigned

Dec 28, 2005

Last updated

Nov 15, 2012By the provider in NPPES

Sex

Female

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Eye Surgeons Associates PC

  • Eyewear Supplier
  • Rock Island, IL
  • NPI 1316030034

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1285611624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 N SHERIDAN RD",
            "address_2": "20/20 EYECARE SOLUTIONS, INC.",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145920",
            "telephone_number": "309-427-2945",
            "fax_number": "309-427-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W WASHINGTON",
            "address_2": "20/20 EYECARE SOLUTIONS, INC.",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616112036",
            "telephone_number": "309-427-2945",
            "fax_number": "309-427-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAMER",
        "first_name": "KAREN",
        "middle_name": "LYNNE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-28",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009232",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0207993",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA GROUP MEDICARE",
            "identifier": "26568",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL GROUP MEDICARE",
            "identifier": "977130",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Costco Wholesale Corporation (Costco Hearing Aid #1126)
• Costco Wholesale Corporation
• Costco Wholesale Corporation (Costco Optical #1126)
• Tiffany Costello
• Ilana Craddock, LCSW
• Kelli Marie Crawford, L-316360
• Curts Transportation Services LLC
• Bradley A Davis, D.C.
• Rita M Demask, RDH, PHDH
• Dental Professionals of Illinois, P.C. (Family Dental Care of East Peoria)

• Optometrist in East Peoria, IL
• Providers in East Peoria, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.