Dr. Nicholas Graham and Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

2222 Issued in NC

Legal business name

DR. NICHOLAS GRAHAM AND ASSOCIATES

Doing business as

Diversified Eyecare Associates OD, PLLC

Practice address

855 Sam Newell Rd
Suite 203
Matthews, NC 28105-7593

Phone

(843) 245-0427

NPI assigned

Oct 12, 2012

Last updated

Oct 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas D Graham, O.D., M.S.NPI 1104137447

Title

President

Phone

(843) 245-0427

Specialties & licenses 2

Addresses

Other names 1

• Diversified Eyecare Associates OD, PLLC Doing business as

Locations

Practitioners 1

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.

• Nicholas D Graham, O.D., M.S.

  • Optometrist
  • Matthews, NC
  • NPI 1104137447
  NPD Authorized official

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

{
    "created_epoch": "1350000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350000000000",
    "number": "1477805562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2085",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281062085",
            "telephone_number": "843-245-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 SAM NEWELL RD",
            "address_2": "SUITE 203",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281057593",
            "telephone_number": "843-245-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. NICHOLAS GRAHAM AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-12",
        "last_updated": "2012-10-12",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-245-0427",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D., M.S."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2222",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1599",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diversified Eyecare Associates OD, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Takai Dorsey
• Kristi Dougan, NP-C
• Dr Andrew G Hahn and Associates Optometry PA (Hahn Eye Center)
• Dr. Arnoldo Bowrey OD PLLC
• Dr. Karen E. Hooper, Psychologist, P.a.
• Drake Neuromuscular Therapy, LLC (Drake Advanced Myofascial Bodywork and Neuromuscular Therapy)
• Jennifer Drake
• Courtney Shea Drakulic
• Ranayda Drayton, LCSW
• Benjamin Addison Driggers, LCSWA

• Optometrist in Matthews, NC
• Providers in Matthews, NC by specialty
• Optometrist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2012; 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.