Bob H Graf, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

18001516A Issued in IN

Practice address

2004 Edison Rd Ste a
South Bend, IN 46617-1712

Phone

(574) 288-2400

Fax

(574) 288-7132

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Dr. Robert H Graf Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1740241975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 EDISON RD STE A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171712",
            "telephone_number": "574-288-2400",
            "fax_number": "574-288-7132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 EDISON RD STE A",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466171712",
            "telephone_number": "574-288-2400",
            "fax_number": "574-288-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAF",
        "first_name": "BOB",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18001516A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100279420",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ELK",
            "identifier": "000000488802",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SOBEND",
            "identifier": "000000539542",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "GRAF",
            "middle_name": "H",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Riley Graber, PA
• Grace Hospice of Indiana, LLC
• Mindy Lynne Gradeless, MSW
• Deshannon Grady Jr
• Miriam Amy Grady
• Carol V Graham, M.A.CCC-SLP
• Kenya G Grajeda
• Gabrianna Gratzol, RBT
• Aaron T Gray, MA
• Whitney Gray, RBT

• Optometrist in South Bend, IN
• Providers in South Bend, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.