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Contact Information

JOHN S GRAVES OD PLC
105 N GROVE ST
STANDISH, MI48658-0576
 Phone: 989-846-4197
 Fax: 989-846-4989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Eyewear Supplier

332H00000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for JOHN S GRAVES OD PLC

NPI # 1396919494
LBN Legal business name JOHN S GRAVES OD PLC
Authorized official JOHN GRAVES - (OWNER/OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/18/2008
Last updated 02/17/2012 - About 14 years ago
Identifiers
MI License # 4901003143
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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