Lauri B. Graham, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1396 Issued in SC

Practice address

1206 Moser Dr
The Market Common
Myrtle Beach, SC 29577-1575

Phone

(843) 213-1201

Fax

(843) 213-1207

NPI assigned

Dec 12, 2006

Last updated

Aug 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Distinctive Eyewear Vision Center

  • Optometrist
  • Myrtle Beach, SC
  • NPI 1174806053
  Medicare reassignment NPD Authorized official
• Dr. Lauri B. Graham & Associates

  • Durable Medical Equipment & Medical Supplies
  • Hartsville, SC
  • NPI 1316156706
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471651200000",
    "number": "1730240151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S COMMONS DR",
            "address_2": "STE 102",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295887740",
            "telephone_number": "843-213-1201",
            "fax_number": "843-213-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 MOSER DR",
            "address_2": "THE MARKET COMMON",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295771575",
            "telephone_number": "843-213-1201",
            "fax_number": "843-213-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "LAURI",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D13965",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Thomas Gorman, DO
• Elizabeth Ann Gowdy, PHD, LISW-CP, MSW
• Michelle Gowen, MS
• Paola Goyeneche, LPC
• Graceful Tides Counseling Service LLC
• Jodi Dee Grainger, FNP
• Grand Strand Dermatology
• Grand Strand Family and Esthetic Dentistry
• Grand Strand Family and Esthetic Dentistry
• Grand Strand Family and Esthetic Dentistry

• Optometrist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.