Individual
MS. KATY M CRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
210 N 7TH ST, SUITE 200, MARIETTA, OH 45750-2244
(740) 376-5590
(740) 376-5591
Mailing address
PO BOX 449, MARIETTA, OH 45750-0449
(740) 374-4500
(740) 374-5887
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5617
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2912987
—
OH
05
—
7100058270
—
KY
05
—
77901981
—
OH
05
—
77901999
—
OH
05
—
77902757
—
OH
01
—
P01692640
RAILROAD MEDICARE - MHCPI
OH
Enumeration date
06/08/2006
Last updated
10/13/2016
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