Individual
DR. JEANINE ELIZABETH GRAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
230 E. RIDGEWOOD AVE, PARAMUS, NJ 07652
(201) 796-2036
Mailing address
22122 BRADFORD GREEN SQUARE, CARY, NC 27519
(201) 796-2036
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
005115
NY
152W00000X
Optometrist
21335-875
WI
152W00000X
Optometrist
Primary
27 OA00511200
NJ
152W00000X
Optometrist
3854
MN
152W00000X
Optometrist
OPT.007117
OH
152W00000X
Optometrist
TPOP94
FL
Other
Enumeration date
12/15/2006
Last updated
01/09/2024
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