Jeri D. Graham O.D.,P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC2446 Issued in FL

Legal business name

JERI D. GRAHAM O.D.,P.A.

Practice address

1239 Sr 436
Suite 101
Casselberry, FL 32707-2707

Phone

(407) 263-3937

Fax

(407) 671-9656

NPI assigned

May 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jeri D Graham, O.D.,P.A.

Title

President

Phone

(407) 263-3937

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1619314978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 SR 436",
            "address_2": "SUITE 101",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327072707",
            "telephone_number": "407-263-3937",
            "fax_number": "407-671-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 SR 436",
            "address_2": "SUITE 101",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327072707",
            "telephone_number": "407-263-3937",
            "fax_number": "407-671-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERI D. GRAHAM O.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JERI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-263-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D.,P.A."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC2446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078790600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIIDUAL NPI",
            "identifier": "1851328496",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalton Jacob James
• Ursula James
• Marly Jean-Pierre
• David James Jenkins, D.C.
• Jennifer Napier Inc
• Aurore JN Pierre
• Warren O Jobs
• Teresa Johns, DMD
• Saffiyah M Johnson
• Sandra Maria Johnson, LMHC

• Optometrist in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.