NPIMap

Organization Active NPI

Edward E.Graul,Jr, MD, Apmc

  • Ophthalmology Physician
  • Eunice, LA
National Provider Identifier
1386762052
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
14875 Issued in LA
Legal business name
EDWARD E.GRAUL,JR, MD, APMC
Practice address
251 Moosa Blvd
Eunice, LA 70535-3638
Phone
(337) 457-1638
Fax
(337) 457-1656
NPI assigned
Mar 27, 2007
Last updated
May 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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

Authorized official

Name
Dr. Edward Eugene Graul Jr., MDNPI 1447228945
Title
President
Phone
(337) 457-1638

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 14875 LA Primary

Addresses

Primary practice location

251 Moosa Blvd
Eunice, LA 70535-3638

Mailing address

251 Moosa Blvd
Eunice, LA 70535-3638
Phone (337) 457-1638

Other identifiers 1

IdentifierTypeStateIssuer
1198587MedicaidLA

National Provider Directory

National Provider Directory

Locations

251 Moosa Blvd
Eunice, LA 70535
Phone (337) 457-1638

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1386762052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 MOOSA BLVD",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353638",
            "telephone_number": "337-457-1638",
            "fax_number": "337-457-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 MOOSA BLVD",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705353638",
            "telephone_number": "337-457-1638",
            "fax_number": "337-457-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD E.GRAUL,JR, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2017-05-11",
        "status": "A",
        "authorized_official_last_name": "GRAUL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "337-457-1638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "LA",
            "license": "14875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198587",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.