JOHN S GRAVES OD PLC (NPI# 1396919494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396919494 |
| Entity Type | Organization |
| Organization Name | JOHN S GRAVES OD PLC |
| Other Organization Name | JOHN SMITH GRAVES |
| Practice Address |
105 N Grove St Standish MI 48658-0576 |
| Mailing Address |
105 N Grove St Po Box 576 Standish MI 48658-0576 |
| Practice Telephone | 9898464197 |
| Practice Fax Number | 9898464989 |
| Mailing Telephone | 9898464197 |
| Mailing Fax Number | 9898464989 |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2012-02-17 |
| Authorized Official Name | DR. JOHN S GRAVES (OWNER/OPTOMETRIST) |
| Authorized Official Telephone | 9898464197 |
| Authorized Official Credential | O.D. PLC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 4901003143 | MI | Suppliers |
| Other Name | Type Code |
|---|---|
| John Smith Graves | Former Legal Business Name - Organization |
| Street Address |
105 N GROVE ST |
| City | STANDISH |
| State | MI |
| Zip Code | 48658-0576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801257522 | John S Graves Od PC | Optometrist | 105 N Grove St, Standish, MI 48658-2508 | 2016-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972136810 | Gregory John Haven | Behavioral Analyst | 2737 Deep River Road, Standish, MI 48658 | 2020-02-19 |
| 1568797579 | Mallori Ann Dzurka | Dietitian, Registered | 805 W. Cedar, Standish, MI 48658 | 2009-10-08 |
| 1548497399 | St. Mary's of Michigan | General Acute Care Hospital | 805 West Cedar, Standish, MI 48658 | 2009-06-19 |
| 1043479801 | Jeffrey S. Kimball, D.c. | Chiropractor | 401 E. Cedar St., Standish, MICHIGAN 48658 | 2008-06-06 |
| 1356549414 | Benjamin E Brummer | Dentist | 116 N Main, Standish, MI 48658 | 2007-07-10 |
| 1568580272 | Muhammed R Mirza Md | Internal Medicine | 805 W Cedar Street, Standish, MI 48658 | 2007-03-27 |
| 1619020856 | Bay Human Services Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 125 S Forest Street, Standish, MI 48658 | 2007-01-19 |
| 1659480457 | Standish Rehabilitation Center Inc | Physical Medicine & Rehabilitation | 529 S Main St, Suite G, Standish, MI 48658 | 2006-08-29 |
| 1437690419 | James Spegel | Social Worker | 1000 W Cedar St, Standish, MI 48658 | 2017-03-10 |
| 1548528086 | Stacey Anne Williamson | Nurse Practitioner | 805 W Cedar St, Standish, MI 48658 | 2012-05-02 |
| Find all providers in zip 48658 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245831783 | Anthony Curtis Mcconer Sr. | Eyewear Supplier (Equipment, not the service) | 457 Highland St Se, Grand Rapids, MI 49507-1204 | 2020-11-02 |
| 1164023610 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 3355 Henry St Ste H, Muskegon, MI 49441-4393 | 2020-11-02 |
| 1316545155 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 15523 Racho Blvd, Taylor, MI 48180-5213 | 2020-10-14 |
| 1043818859 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 6828 Rochester Rd, Troy, MI 48085-1291 | 2020-10-14 |
| 1851999692 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 45101 Towne Center Blvd, Chesterfield, MI 48047-6141 | 2020-10-14 |
| 1609488378 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 4816 Bay City Rd, Midland, MI 48642 | 2020-08-23 |
| 1831700061 | Optics Center | Eyewear Supplier (Equipment, not the service) | 6645 Schaefer Rd, Dearborn, MI 48126-1812 | 2020-08-11 |
| 1538784327 | Sassy Eyes Boutique, LLC | Eyewear Supplier (Equipment, not the service) | 28911 7 Mile Rd, Livonia, MI 48152-3503 | 2020-06-08 |
| 1508407982 | P-cor LLC | Eyewear Supplier (Equipment, not the service) | 1961 S. Telegraph Rd, Bloomfield Hills, MI 48302 | 2019-10-07 |
| 1972153666 | Svs Vision Inc | Eyewear Supplier (Equipment, not the service) | 15620 Hall Rd, Clinton Township, MI 48038-1036 | 2019-09-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.