Kirsten Graham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTG00791 Issued in RI

Practice address

245 Waterman St Ste 309
Providence, RI 02906-5215

Phone

(401) 227-2188

Fax

(401) 227-2183

NPI assigned

Aug 11, 2026

Last updated

Sep 22, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Eyediology Vision, LLC

  • Optometrist
  • Providence, RI
  • NPI 1063141166
  NPD (past)

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1245155068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 WATERMAN ST STE 309",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065215",
            "telephone_number": "401-227-2188",
            "fax_number": "401-227-2183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 WATERMAN ST STE 309",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065215",
            "telephone_number": "401-227-2188",
            "fax_number": "401-227-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KIRSTEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTG00791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrollyn E Grace, APRN PCNS
• Alanna Guilbeault Gracia, OTR/L
• Shilpa Vijayakumar Gracia, MD
• Lisa Grady, D.O.
• Jon Henry Graham III, RN
• Carolyn Patricia Granata
• Julie Francine Grand-Landau, LICSW
• David Grand, M.D.
• Sandy Grand, PHD
• Lisa Granda, LCSW

• Optometrist in Providence, RI
• Providers in Providence, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; 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.