Individual
DR. JEFFERY DONALD GRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
754 S MAIN ST, STE 6, SAINT GEORGE, UT 84770-5504
(435) 634-0420
(435) 634-5409
Mailing address
754 S MAIN ST, STE 6, SAINT GEORGE, UT 84770-5504
(435) 634-0420
(435) 634-5409
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
114436-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
114436-9934
UT
152WL0500X
Low Vision Rehabilitation Optometrist
114436-9934
UT
152WP0200X
Pediatric Optometrist
114436-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410021393
RAILROAD MEDICARE
—
Enumeration date
06/08/2005
Last updated
06/05/2008
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