Organization Active NPI

Jeffery D Graf OD PC

Doing business as Graf Medical Eye Care and Vision Center

  • Optometrist
  • St George, UT
National Provider Identifier
1558374173
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
114436-9934 Issued in UT
Legal business name
JEFFERY D GRAF OD PC
Doing business as
Graf Medical Eye Care and Vision Center
Practice address
754 S Main St
Ste 6
Saint George, UT 84770
Phone
(435) 634-0420
Fax
(435) 634-5409
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Authorized official

Name
Dr. Jeffery D Graf, OD
Title
President
Phone
(435) 634-0420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 114436-9934 UT Primary

Addresses

Primary practice location

754 S Main St
Ste 6
Saint George, UT 84770

Mailing address

754 S Main St
Ste 6
Saint George, UT 84770
Phone (435) 634-0420

Other identifiers 1

IdentifierTypeStateIssuer
DN1610OtherRAILROAD MEDICARE

Other names 1

  • GRAF MEDICAL EYE CARE AND VISION CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

754 S Main St
Ste 6
St George, UT 84770
Phone (435) 634-0420

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1558374173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 S MAIN ST",
            "address_2": "STE 6",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-634-0420",
            "fax_number": "435-634-5409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S MAIN ST",
            "address_2": "STE 6",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "84770",
            "telephone_number": "435-634-0420",
            "fax_number": "435-634-5409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY D GRAF OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-634-0420",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "114436-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN1610",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAF MEDICAL EYE CARE AND VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.