Jeri Dee Graham, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 2446 Issued in FL

Practice address

1239 State Road 436 Ste 101
Casselberry, FL 32707-6447

Phone

(407) 263-3937

Fax

(407) 671-9656

NPI assigned

Jun 27, 2006

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 FL

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

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.

• Sidney J Stern Visual Health Centers PA

  • Optometrist
  • Miami, FL
  • NPI 1134621402
  NPD (past)
• Sidney J Stern Visual Health Centers PA

  • Optometrist
  • Miami, FL
  • NPI 1629095476
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368748800000",
    "number": "1851328496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 STATE ROAD 436 STE 101",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076447",
            "telephone_number": "407-263-3937",
            "fax_number": "407-671-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 STATE ROAD 436 STE 101",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327076447",
            "telephone_number": "407-263-3937",
            "fax_number": "407-671-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "JERI",
        "middle_name": "DEE",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2013-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078790600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Princess Venessa Goad, MA, CCC-SLP
• Maria Veronica Godoy
• Ashley Gooden
• Timothy Aaron Graeser, DPM
• Graham-Sego Corporation
• Arnold Amour Grant Jr
• Jailene Grau
• Margaret A Grebin, MS, LMFT
• Karl H. Grever, MS CCC-A
• Jillian Grier

• Optometrist in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2013; 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.