| Krasemann Eye Center Inc | |
|
8003 E Apache Trl Mesa AZ 85207-8503 | |
| (480) 986-1601 | |
| (480) 986-9242 |
| Full Name | Krasemann Eye Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8003 E Apache Trl, Mesa, Arizona |
| Authorized Official Name and Position | Mark Alan Krasemann (PRESIDENT) |
| Authorized Official Contact | 4809861601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Krasemann Eye Center Inc 8003 E Apache Trl Mesa AZ 85207-8503 Ph: (480) 986-1601 | Krasemann Eye Center Inc 8003 E Apache Trl Mesa AZ 85207-8503 Ph: (480) 986-1601 |
| NPI Number | 1487837050 |
|---|---|
| Provider Enumeration Date | 12/06/2007 |
| Last Update Date | 12/06/2007 |
| Medicare PECOS PAC ID | 3971685801 |
|---|---|
| Medicare Enrollment ID | O20080130000482 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487837050 | NPI | - | NPPES |
| 1245610 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 841 (Arizona) | Primary |
| Provider Name | Mark A Krasemann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225011141 PECOS PAC ID: 4587681127 Enrollment ID: I20051102000126 |
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