James Graves, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

97 Issued in AK

Practice address

3455 Rewak Dr
Suite 102
Fairbanks, AK 99709-5024

Phone

(907) 474-8695

Fax

(907) 474-8727

NPI assigned

Nov 21, 2014

Sex

Male

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Villiage Store Inc

  • Optometrist
  • Fairbanks, AK
  • NPI 1659400596
  NPD (past) Authorized official

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1447657200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 REWAK DR",
            "address_2": "SUITE 102",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095024",
            "telephone_number": "907-474-8695",
            "fax_number": "907-474-8727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 REWAK DR",
            "address_2": "SUITE 102",
            "city": "FAIRBANKS",
            "state": "AK",
            "postal_code": "997095024",
            "telephone_number": "907-474-8695",
            "fax_number": "907-474-8727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "97",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarice Grandpre, M.D.
• Candice G Grant-Gray
• Cait Grantham
• Kaitlin Grapengeter
• Helen Graves, M.A. SLP
• Kaylen Celine Rosa Gray
• Jeffrey Patrick Graybill
• Greater Fairbanks Comm
• Greater Works Caring Center
• Janice Greco

• Optometrist in Fairbanks, AK
• Providers in Fairbanks, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.