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Contact Information

CALVIN F GRAHAM, OD
1001 LEXINGTON AVE.
FORT SMITH, AR72901-4945
 Phone: 479-782-6737
 Fax: 479-782-1071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for CALVIN F GRAHAM · (Male)

NPI # 1356321616
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 01/20/2006
Last updated 12/06/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 2072
  • AR License # AR2072/OP1100009
  • AR License # AR20723
  • AR Medicaid 105711722
  • OK Medicaid 100760800A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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