Robert Jackson Graham, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0008729T Issued in CA

Practice address

635 E Ojai Ave
Ojai, CA 93023-2822

Phone

(805) 646-8510

Fax

(805) 646-2968

NPI assigned

Dec 1, 2005

Last updated

Aug 21, 2012By the provider in NPPES

Sex

Male

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 3

Medicare fee-for-service enrollment

Enrolled in CA

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

Specialty

Optometry

Education

University of California - School of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rjg@docgraham.eyeclinicdirect.net

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.

• Robert J. Graham O.D. Inc

  • Optometrist
  • Ojai, CA
  • NPI 1174860001
  Medicare reassignment NPD Authorized official
• Roger H Phelps OD, Inc.

  dba OjaiEyes Optometry

  • Optometrist
  • Ojai, CA
  • NPI 1972518348
  NPD (past)

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

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1750365052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930240880",
            "telephone_number": "805-646-8510",
            "fax_number": "805-646-2968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 E OJAI AVE",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232822",
            "telephone_number": "805-646-8510",
            "fax_number": "805-646-2968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ROBERT",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "0008729T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "770541071",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "S000872901",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL EYE SERVICES",
            "identifier": "6567",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bruce Whyddon Gladstone, PH.D.
• Glen Park at Ojai (Glen Park Senior Living)
• Bailey Godber
• Cris Tina Goldman, PPS
• Maziar Goshtasbi
• Bonnie Jean Griffin, PA
• Michelle Griffith, FNP
• Alysa Kimberly Grigsby, MFT
• Carl A Gross, M.D.
• Hans D Gruenn, M.D.

• Optometrist in Ojai, CA
• Providers in Ojai, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; 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.

Verify at the official NPI Registry.