Philip R Graham & William J

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PHILIP R GRAHAM & WILLIAM J

Practice address

14 E Marion St
Pontotoc, MS 38863-2813

Phone

(662) 489-4741

Fax

(662) 489-2940

NPI assigned

Feb 18, 2009

Last updated

Feb 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Philip R Graham, O DNPI 1164572848

Title

Owner

Phone

(662) 489-4741

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Randle Graham, O.D.

  • Optometrist
  • Pontotoc, MS
  • NPI 1164572848
  Authorized official Same address or phone

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

{
    "created_epoch": "1234915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1114166931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388630120",
            "telephone_number": "662-489-4741",
            "fax_number": "662-489-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E MARION ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632813",
            "telephone_number": "662-489-4741",
            "fax_number": "662-489-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP R GRAHAM & WILLIAM J",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-18",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-489-4741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britny Bramlett Owens, NP-C
• Ekaterini Papadimitriou
• Christopher Lane Park, DO
• Alexander Kevaun Pearson
• Angela Paige Pennington, DMD
• Austin Pitman, FNP
• Pontotoc City School
• Pontotoc Family Dental PLLC
• Pontotoc Health Services, Inc. (Pontotoc Medical Clinic)
• Pontotoc Health Services, Inc. (Pontotoc Nursing Home)

• Optometrist in Pontotoc, MS
• Providers in Pontotoc, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; 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.