Robert L. Grazian, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

7477T Issued in CA

Practice address

9727 Mission Gorge Rd
Santee, CA 92071-3809

Phone

(619) 562-5220

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Y Diaz Optometric Corporation

  dba Santee Vision Care Center Optometry

  • Optometrist
  • Santee, CA
  • NPI 1063305159
  NPD (past)

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053448977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9727 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713809",
            "telephone_number": "619-562-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9727 MISSION GORGE RD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920713809",
            "telephone_number": "619-562-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAZIAN",
        "first_name": "ROBERT",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7477T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0074771",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shamini M. Govender, M.D.
• Anissa Nisha Govind, CF-SLP
• Jasmine Pascua Gozum
• Jeanne M Grant, D.C.
• Ronald Scott Gray Jr.
• Susan Michele Greco, PHARM.D.
• Megan Emily Greebon Koerth, CCC-SLP
• Green Tree Home Care LLC
• Michelle Green
• Greggory P. Gechoff, DDS, Ms, Apc

• Optometrist in Santee, CA
• Providers in Santee, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.