NPIMap

Organization Active NPI

David M Graf OD PC

  • Optometrist
  • Richfield, UT
National Provider Identifier
1497959720
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
53505879934 Issued in UT
Legal business name
DAVID M GRAF OD PC
Practice address
145 N 100 E
Richfield, UT 84701
Phone
(435) 896-8142
Fax
(435) 896-9484
NPI assigned
Jun 12, 2007
Organization subpart
No

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
David M Graf, OD, PC145 N 100 E, Richfield, UT 84701-2131(435) 896-8142 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 12, 2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210125001346 UT Part B Supplier - Clinic/Group Practice 0244644755 Receives reassigned benefits from 2 practitioners
Practice locations: Richfield, UT
O20211116000192 UT DME Supplier - Physician - Optometrist 0244644755 Practice locations: Richfield, UT

National Provider Directory

National Provider Directory

Locations

145 N 100 E
Richfield, UT 84701
Phone (435) 688-8991

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Melanie A Rhinehart
Title
Credentialing
Phone
(435) 201-0589

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 1098119934 UT
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 53505879934 UT Primary

Addresses

Primary practice location

145 N 100 E
Richfield, UT 84701

Mailing address

145 N 100 E
Richfield, UT 84701-2131
Phone (435) 896-8142

Other names 2

  • Valley Vision Clinic Doing business as
  • R.L. Luekenga, O.D., P.C. Former legal business name

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1497959720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 N 100 E",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "847012131",
            "telephone_number": "435-896-8142",
            "fax_number": "435-896-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 N 100 E",
            "city": "RICHFIELD",
            "state": "UT",
            "postal_code": "84701",
            "telephone_number": "435-896-8142",
            "fax_number": "435-896-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M GRAF OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A",
        "authorized_official_last_name": "RHINEHART",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "435-201-0589"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "1098119934",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "53505879934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "R.L. Luekenga, O.D., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Richfield, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.