Organization
DR. NICHOLAS GRAHAM AND ASSOCIATES
Active
Other names
Diversified Eyecare Associates OD, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS D GRAHAM O.D., M.S. (PRESIDENT)
(843) 245-0427
Entity
Organization
Contact information
Practice address
855 SAM NEWELL RD, SUITE 203, MATTHEWS, NC 28105-7593
(843) 245-0427
Mailing address
PO BOX 2085, MATTHEWS, NC 28106-2085
(843) 245-0427
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1599
SC
152W00000X
Optometrist
Primary
2222
NC
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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