Active NPI
Christine Ryan Graley, O.D.
- Optometrist
- Middlefield, OH
National Provider Identifier
1720157134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5551 T2465
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
14894 N State Ave
Middlefield, OH 44062-9724
Phone (440) 632-1695
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5551 T2465 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Optix Inc | Past | 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.
-
- Eyewear Supplier
- Middlefield, OH
- NPI 1538292891
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.