Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ROBERT A GRACEY, OD
DeactivatedDR. ROBERT A GRACEY, OD is a Optometrist healthcare provider located in JEMEZ PUEBLO, New Mexico. NPI 1043202351 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · JEMEZ PUEBLO, NM
This NPI has been deactivated.
The record was deactivated on March 27, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1043202351
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2005 (0.59452054794521 yrs)
- Last Updated
- Jun 23, 2020
- Deactivated
- Mar 27, 2006
- License
-
3471TG (TX)
Practice Information
- Address
-
110 SHEEP SPRINGSJEMEZ PUEBLO, NM, 870240279Browse NM providers · Browse ZIP 87024
- Phone
- 5758347413
- Fax
- 5758343022
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.