Individual provider Active NPI

David McClean Graf, O.D.

  • Optometrist
  • Richfield, UT
National Provider Identifier
1306805510
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5350587-9934 Issued in UT
Practice address
145 N 100 E
Richfield, UT 84701-2131
Phone
(435) 896-8142
Fax
(435) 896-9484
NPI assigned
Mar 17, 2006
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5350587-9934 UT Primary
Corneal and Contact Management Optometrist 152WC0802X 5350587-9934 UT
Low Vision Rehabilitation Optometrist 152WL0500X 5350587-9934 UT
Pediatric Optometrist 152WP0200X 5350587-9934 UT

Addresses

Primary practice location

145 N 100 E
Richfield, UT 84701-2131

Mailing address

145 N 100 E
Richfield, UT 84701-2131
Phone (435) 896-8142

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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

Enrollment IDStateProvider typePAC IDDetails
I20031114000636 UT Practitioner - Optometry 2264346170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David M Graf OD PCGroup PAC ID 0244644755, 2 clinicians

Practice addresses (Care Compare)

145 N 100
Richfield, UT 84701-2131
Phone (435) 896-8142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Networks

  • UT PPO

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1306805510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N 100 E",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012131",
            "telephone_number": "435-896-8142",
            "fax_number": "435-896-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N 100 E",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012131",
            "telephone_number": "435-896-8142",
            "fax_number": "435-896-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAF",
        "first_name": "DAVID",
        "middle_name": "MCCLEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "5350587-9934",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "UT",
            "license": "5350587-9934",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "UT",
            "license": "5350587-9934",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "UT",
            "license": "5350587-9934",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, UT

Sources for this page

Verify at the official NPI Registry.