Individual
DR. RICHARD GRAEBE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 CROSSFIELD DR, VERSAILLES, KY 40383-1444
(859) 879-3665
(859) 879-3662
Mailing address
105 CROSSFIELD DR, VERSAILLES, KY 40383-1444
(859) 879-3665
(859) 879-3662
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1044-DT
KY
152WV0400X
Vision Therapy Optometrist
1044-DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77010445
—
KY
Enumeration date
03/16/2006
Last updated
05/03/2012
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