Krasemann Eye Center Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

841 Issued in AZ

Legal business name

KRASEMANN EYE CENTER INC

Practice address

8003 E Apache TRL
Mesa, AZ 85207-8503

Phone

(480) 986-1601

Fax

(480) 986-9242

NPI assigned

Dec 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mark Alan Krasemann, O.D.NPI 1225011141

Title

President

Phone

(480) 986-1601

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

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

• Mark Alan Krasemann, O.D.

  • Optometrist
  • Mesa, AZ
  • NPI 1225011141
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1487837050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8003 E APACHE TRL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078503",
            "telephone_number": "480-986-1601",
            "fax_number": "480-986-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8003 E APACHE TRL",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852078503",
            "telephone_number": "480-986-1601",
            "fax_number": "480-986-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRASEMANN EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "KRASEMANN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-986-1601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245610",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul Joseph Kraemer, PHARM.D.
• Theresa J Kraemer, PT, ATC
• Breanne Krakora, BCBA
• Sean Michael Kramer, D.O.
• David Allen Krants, PHARMD
• Mark Alan Krasemann, O.D.
• Emily Rae Krattley
• Kelsey Miles Krause, DMD
• Weston Maximilian Krauss, MD
• Adam Kravietz, MD, MPH

• Clinic/Center in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.