JOHN S GRAVES OD PLC NPI 1396919494

NPI Information

  • NPI: 1396919494
  • Provider Name: JOHN S GRAVES OD PLC
  • Classification: Eyewear Supplier - 332H00000X
  • Entity Type: Organization
  • Former Legal Business Name: JOHN SMITH GRAVES
  • Address: 105 N GROVE ST
    STANDISH, MI
    ZIP 48658
  • Phone: (989) 846-4197

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NPI Details

JOHN S GRAVES OD PLC is an eyewear supplier in Standish, MI. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. JOHN S GRAVES OD PLC NPI is 1396919494. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is John Smith Graves.

The provider's business location address is:

105 N GROVE ST
STANDISH, MI
ZIP 48658-576
Phone: (989) 846-4197
Fax: (989) 846-4989

The provider's authorized official is John S Graves .
The authorized official title is Owner/optometrist and has the following contact phone number (989) 846-4197.

The enumeration date for this NPI number is 4/18/2008 and was last updated on 2/17/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332H00000XEyewear Supplier4901003143MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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