Active NPI
Charles E Graham MD LTD
- Ophthalmology Physician
- North Las Vegas, NV
National Provider Identifier
1124216353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- CHARLES E GRAHAM MD LTD
- Practice address
- 3435 W Craig Rd Ste a
North Las Vegas, NV 89032-5116 - Phone
- (702) 733-6673
- Fax
- (702) 633-0077
- NPI assigned
- Oct 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Charles E. Graham, M.D.
- Title
- Ceo
- Phone
- (702) 733-6673
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
3435 W Craig Rd Ste a
North Las Vegas, NV 89032-5116
Mailing address
PO Box 34405
3435 W Craig Rd Suite a
Las Vegas, NV 89133-4405
Phone (702) 733-6673
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- North Las Vegas, NV
- NPI 1134270390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1124216353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34405",
"address_2": "3435 W CRAIG RD SUITE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891334405",
"telephone_number": "702-733-6673",
"fax_number": "702-633-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3435 W CRAIG RD STE A",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890325116",
"telephone_number": "702-733-6673",
"fax_number": "702-633-0077"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES E GRAHAM MD LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-12",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "702-733-6673",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.