Individual provider Active NPI

Kaci M Kramer-Oldroyd, OD

  • Optometrist
  • Phoenix, AZ
National Provider Identifier
1780651562
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1152 Issued in AZ
Practice address
18325 N Allied Way
Suite 100
Phoenix, AZ 85054-3105
Phone
(602) 467-4966
Fax
(480) 419-5401
NPI assigned
Mar 1, 2006
Last updated
Jun 23, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1152 AZ Primary

Addresses

Primary practice location

18325 N Allied Way
Suite 100
Phoenix, AZ 85054-3105

Mailing address

18325 N Allied Way
Suite 100
Phoenix, AZ 85054-3105
Phone (602) 467-4966

Other identifiers 1

IdentifierTypeStateIssuer
368789MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20101014000354 AZ Practitioner - Optometry 5597957134 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1152AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Millennium Vision Inc Optometrist CurrentSince Sep 1, 2001 Accepting new patients
Phoenix Ophthalmologists PA CurrentSince Jun 1, 2018 Accepting new patients

Locations

1130 E Missouri Ave
Ste 100
Phoenix, AZ 85014
Phone (602) 995-1166

18404 N Tatum Blvd
Ste 202
Phoenix, AZ 85032
Phone (480) 473-3668

18325 N Allied Way
Ste 100
Phoenix, AZ 85054
Phone (602) 467-4966

Organizations & group practices 2

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1780651562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18325 N ALLIED WAY",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543105",
            "telephone_number": "602-467-4966",
            "fax_number": "480-419-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18325 N ALLIED WAY",
            "address_2": "SUITE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850543105",
            "telephone_number": "602-467-4966",
            "fax_number": "480-419-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER-OLDROYD",
        "first_name": "KACI",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "368789",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.