John S Graves Od Plc

NPI #1396919494 in Standish, Michigan

Provider Information

NPI Number: 1396919494
Entity Type: Organization
Organization Name: John S Graves Od Plc
Primary Specialty: Eyewear Supplier
Enumeration Date: Apr 18, 2008
Last Updated: Feb 17, 2012

Practice Location

Address: 105 N GROVE ST
City: Standish
State: Michigan
ZIP Code: 48658-0576
Phone: (989) 846-4197

Authorized Official

Name: DR. JOHN S GRAVES, O.D. PLC
Title: OWNER/OPTOMETRIST
Phone: (989) 846-4197

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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