Organization Active NPI

DRS Curt E & Craig Gramelspacher OD

  • Optometrist
  • Jasper, IN
National Provider Identifier
1730218769
Registry record updated Dec 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18001949B Issued in IN
Legal business name
DRS CURT E & CRAIG GRAMELSPACHER OD
Practice address
115 E 9TH St
Jasper, IN 47546-3010
Phone
(812) 482-1990
Fax
(812) 634-6845
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2013

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

Authorized official

Name
Dr. Craig J Gramelspacher, O.D.
Title
Partner
Phone
(812) 482-1990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18001949B IN Primary

Addresses

Primary practice location

115 E 9TH St
Jasper, IN 47546-3010

Mailing address

PO Box 590
Jasper, IN 47547-0590
Phone (812) 482-1990

Other identifiers 4

IdentifierTypeStateIssuer
000000382008OtherINANTHEM CRAIG'S
410003940OtherINRAILROAD MEDICARE ID
000000224633OtherINANTHEM CURT'S
100109600AMedicaidIN

Other names 1

  • Curt E & Craig J Gramelsp Other name

National Provider Directory

National Provider Directory

Locations

115 E 9th St
Jasper, IN 47546
Phone (812) 482-1990

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387324800000",
    "number": "1730218769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475470590",
            "telephone_number": "812-482-1990",
            "fax_number": "812-634-6845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 9TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475463010",
            "telephone_number": "812-482-1990",
            "fax_number": "812-634-6845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS CURT E & CRAIG GRAMELSPACHER OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2013-12-18",
        "status": "A",
        "authorized_official_last_name": "GRAMELSPACHER",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "812-482-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001949B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM CRAIG'S",
            "identifier": "000000382008",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "410003940",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM CURT'S",
            "identifier": "000000224633",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100109600A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curt E & Craig J Gramelsp",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; 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.