Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLENN NICOLAS GRAHAM, OD
ActiveDR. GLENN NICOLAS GRAHAM, OD is a Optometrist healthcare provider located in SAN LUIS OBISPO, California. NPI 1871687640 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SAN LUIS OBISPO, CA
Registration Details
- NPI Number
- 1871687640
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 3, 2006 (19.854748724041 yrs)
- Last Updated
- Jan 22, 2014
- License
-
7203T (CA)
Practice Information
- Address
-
1245 BROAD STSAN LUIS OBISPO, CA, 93401Browse CA providers · Browse ZIP 93401
- Phone
- 8055420700
- Fax
- 8057849309
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in SAN LUIS OBISPO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MARTIN LEE HETLAND | OD | 1851384218 |
| DR. RUPERT C CHOWINS | O.D. | 1750368304 |
| DR. AMANDA MICHELLE PARREIRA | O.D. | 1619948809 |
| DR. DEREK L COOMBS | O.D. | 1497766380 |
| URVI RAMESH PATEL | O.D. | 1952463648 |
| DR. THOMAS F RIPPNER | O.D. | 1578613451 |
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.