Bruce V. Graff, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4983 Issued in CA

Practice address

1406 Bailey Ave
Needles, CA 92363-3115

Phone

(760) 326-2149

Fax

(760) 326-1224

NPI assigned

Apr 4, 2007

Last updated

May 5, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

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 2

Specialty

Optometry

Education

Southern California College of Optometry, 1968

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1346362902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "923630308",
            "telephone_number": "760-326-2149",
            "fax_number": "760-326-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 BAILEY AVE",
            "city": "NEEDLES",
            "state": "CA",
            "postal_code": "923633115",
            "telephone_number": "760-326-2149",
            "fax_number": "760-326-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAFF",
        "first_name": "BRUCE",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "4983",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "80",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORIDIAN",
            "identifier": "999000380",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0049830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "410002519",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariah Funderburg, LMFT
• Sonia Gallegos, MSW
• William Mark Garner, RPH
• Gilbert Almaraz MD Inc
• Luisa Fernanda Gongora, DDS
• Shantell M Hazlewood
• Cynthia Hess, MHS
• Barbara A Hibbits, LMFT
• Evette Renee Jones, LVN
• Douglas Eugene Kaylor, DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.