Individual provider Active NPI

Patrick William Graves, OD

  • Optometrist
  • Stevensville, MI
National Provider Identifier
1548746449
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901005715 Issued in MI
Practice address
5770 Red Arrow Hwy
Stevensville, MI 49127-1159
Phone
(269) 367-2626
Fax
(269) 367-2676
NPI assigned
Jul 13, 2018
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901005715 MI Primary

Addresses

Primary practice location

5770 Red Arrow Hwy
Stevensville, MI 49127-1159

Mailing address

5770 Red Arrow Hwy
Stevensville, MI 49127-1159
Phone (269) 367-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230803000849 MI Practitioner - Optometry 3577983410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Life Vision Eyecare PLLCGroup PAC ID 4486074168, 2 clinicians

Practice addresses (Care Compare)

5770 Red Arrow Hwy
Stevensville, MI 49127-1159
Phone (269) 367-2626

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Life Vision Eyecare, PLLC Optometrist CurrentSince Aug 26, 2024 Accepting new patients
Advanced Family Eye Care, PC Optometrist CurrentSince Jun 27, 2023 Accepting new patients
Advanced Mobile Eye Care, LLC Optometrist PastSince Jun 27, 2023 Accepting new patients

Locations

2810 Niles Rd
Saint Joseph, MI 49085
Phone (269) 429-6781

5770 Red Arrow Hwy
Stevensville, MI 49127
Phone (269) 367-2626

Interoperability endpoints

  • Direct secure messaging: patrick.graves@uprisedirect.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1548746449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 RED ARROW HWY",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491271159",
            "telephone_number": "269-367-2626",
            "fax_number": "269-367-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 RED ARROW HWY",
            "city": "STEVENSVILLE",
            "state": "MI",
            "postal_code": "491271159",
            "telephone_number": "269-367-2626",
            "fax_number": "269-367-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "PATRICK",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-13",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901005715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevensville, MI

Sources for this page

Verify at the official NPI Registry.