National Provider Identifier Database

GLENN N GRAHAM, OD – NPI #1871687640
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

GLENN N GRAHAM, OD
1245 BROAD ST
SAN LUIS OBISPO, CA93401
Phone: 805-542-0700
Fax: 805-784-9309
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for GLENN N GRAHAM

NPI Number 1871687640
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/03/2006
Last updated 01/22/2014 - About 12 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 7203T
Hospital affiliation n/a

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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