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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 114436-9934
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DN1610 | Other | RAILROAD MEDICARE |
Other names 1
- GRAF MEDICAL EYE CARE AND VISION CENTER
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- St George, UT
- NPI 1568569721
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.