Individual provider Active NPI

Elise Gabrielle Kramer, O.D.

  • Optometrist
  • Miami, FL
National Provider Identifier
1679823454
Registry record updated Dec 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 4805 Issued in FL
Practice address
2627 NE 203Rd St
#116
Miami, FL 33180-1900
Phone
(305) 814-2299
Fax
(514) 316-6609
NPI assigned
Sep 19, 2012
Last updated
Dec 14, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 4805 FL Primary
Optometrist 152W00000X 321217 ZZ

Addresses

Primary practice location

2627 NE 203Rd St
#116
Miami, FL 33180-1900

Mailing address

2627 NE 203Rd St
#116
Miami, FL 33180-1900
Phone (305) 814-2299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20140612001804 FL Practitioner - Optometry 7315161387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Montreal - School of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2627 NE 203Rd St
Suite 116
Miami, FL 33180-1945
Phone (305) 814-2299

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 4805FLMDOptometrist
321217ZZMDOptometrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1348012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450051200000",
    "number": "1679823454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST",
            "address_2": "#116",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801900",
            "telephone_number": "305-814-2299",
            "fax_number": "514-316-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 NE 203RD ST",
            "address_2": "#116",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801900",
            "telephone_number": "305-814-2299",
            "fax_number": "514-316-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "ELISE",
        "middle_name": "GABRIELLE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-19",
        "last_updated": "2015-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4805",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ZZ",
            "license": "321217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.