Organization Active NPI

Dr. Lauri B. Graham & Associates

  • Optometrist
  • Hartsville, SC
National Provider Identifier
1477766392
Registry record updated Dec 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1396 Issued in SC
Legal business name
DR. LAURI B. GRAHAM & ASSOCIATES
Practice address
1150 S 4TH St
Hartsville, SC 29550-0705
Phone
(843) 383-2013
NPI assigned
May 7, 2007
Last updated
Dec 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2009

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

Authorized official

Name
Dr. Lauri Graham, O.D.
Title
Optometrist and Owner
Phone
(843) 383-2013

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1396 SC Primary

Addresses

Primary practice location

1150 S 4TH St
Hartsville, SC 29550-0705

Mailing address

1150 S 4TH St
Hartsville, SC 29550-0705
Phone (843) 383-2013

Other identifiers 1

IdentifierTypeStateIssuer
D13965MedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261094400000",
    "number": "1477766392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295500705",
            "telephone_number": "843-383-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S 4TH ST",
            "city": "HARTSVILLE",
            "state": "SC",
            "postal_code": "295500705",
            "telephone_number": "843-383-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LAURI B. GRAHAM & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2009-12-18",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "LAURI",
        "authorized_official_title_or_position": "OPTOMETRIST AND OWNER",
        "authorized_official_telephone_number": "843-383-2013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D13965",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartsville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2009; 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.