Active NPI
Dirk Graves, O.D.,M.N.S.
- Optometrist
- Anderson, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1140
- Practice address
- 2808 E. North Ave.
Anderson, SC 29625-2300 - Phone
- (864) 226-6041
- Fax
- (864) 226-1299
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1140 | SC | Primary |
Addresses
Primary practice location
2808 E. North Ave.
Anderson, SC 29625-2300
Mailing address
2808 E. North Ave.
Anderson, SC 29625-2300
Phone (864) 226-6041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2808 E N Ave
Anderson, SC 29625-2300
Phone (864) 226-6041
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Vision of Anderson PA | Optometrist | Current | Accepting new patients |
Locations
2808 E North Ave
Anderson, SC 29625
Phone (864) 226-6041
518 College Ave
Clemson, SC 29631
Phone (864) 226-6041
518 College Ave
Ste 200
Clemson, SC 29631
Phone (864) 226-6041
900A Greenville Dr
Williamston, SC 29697
Phone (864) 847-7657
Organizations & group practices 1
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.
-
- Optometrist
- Anderson, SC
- NPI 1629121165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1548215015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 E. NORTH AVE.",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296252300",
"telephone_number": "864-226-6041",
"fax_number": "864-226-1299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 E. NORTH AVE.",
"city": "ANDERSON",
"state": "SC",
"postal_code": "296252300",
"telephone_number": "864-226-6041",
"fax_number": "864-226-1299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVES",
"first_name": "DIRK",
"name_prefix": "Dr.",
"credential": "O.D.,M.N.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "SC",
"license": "1140",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.