James Edward Grau Jr

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

0618000167 Issued in VA

Legal business name

JAMES EDWARD GRAU JR

Practice address

699 McBroom St NW Ste a
Abingdon, VA 24210-2511

Phone

(276) 628-1143

Fax

(276) 628-9522

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Beverley June Cole

Title

Office Manager

Phone

(276) 628-1143

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Drs James & Gail Grau Optometrists Doing business as

Locations

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1679658611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 MCBROOM ST NW # A",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102511",
            "telephone_number": "276-682-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "699 MCBROOM ST NW STE A",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242102511",
            "telephone_number": "276-628-1143",
            "fax_number": "276-628-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES EDWARD GRAU JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "276-628-1143",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000166",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "VA",
            "license": "0618000167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009205136",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009205144",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs James & Gail Grau Optometrists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vision Therapy Optometrist in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Vision Therapy Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.