Individual provider Active NPI

Christine Ryan Graley, O.D.

  • Optometrist
  • Middlefield, OH
National Provider Identifier
1720157134
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5551 T2465 Issued in OH
Practice address
14894 N State Ave
Middlefield, OH 44062-9724
Phone
(440) 632-1695
Fax
(888) 614-3113
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5551 T2465 OH Primary

Addresses

Primary practice location

14894 N State Ave
Middlefield, OH 44062-9724

Mailing address

308 Allynd Blvd
Chardon, OH 44024-1013
Phone (440) 346-4864

Other practice location 1

512 Washington St
Chagrin Falls, OH 44022-4453
Phone (440) 247-4920

Other practice location 2

14901 State Avenue North
Middlefield, OH 44062
Phone (440) 632-9277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090221000015 OH Practitioner - Optometry 9638234842 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christine Graley OD LLC 2 clinicians

Practice addresses (Care Compare)

14894 N State Ave
Middlefield, OH 44062-9724
Phone (440) 632-1695

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5551 T2465OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
My Optix Inc PastSince Jan 1, 2008 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1720157134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 ALLYND BLVD",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440241013",
            "telephone_number": "440-346-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14894 N STATE AVE",
            "city": "MIDDLEFIELD",
            "state": "OH",
            "postal_code": "440629724",
            "telephone_number": "440-632-1695",
            "fax_number": "888-614-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "512 Washington St",
            "address_purpose": "LOCATION",
            "city": "Chagrin Falls",
            "state": "OH",
            "postal_code": "440224453",
            "country_code": "US",
            "telephone_number": "440-247-4920",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14901 State Avenue North",
            "address_purpose": "LOCATION",
            "city": "Middlefield",
            "state": "OH",
            "postal_code": "44062",
            "country_code": "US",
            "telephone_number": "440-632-9277",
            "fax_number": "440-632-1690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRALEY",
        "first_name": "CHRISTINE",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "5551 T2465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlefield, OH

Sources for this page

Verify at the official NPI Registry.