Individual
DR. BOB H GRAF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2004 EDISON RD STE A, SOUTH BEND, IN 46617-1712
(574) 288-2400
(574) 288-7132
Mailing address
2004 EDISON RD STE A, SOUTH BEND, IN 46617-1712
(574) 288-2400
(574) 288-7132
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001516A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000488802
BCBS ELK
IN
01
—
000000539542
BCBS SOBEND
IN
05
—
100279420
—
IN
Enumeration date
03/29/2006
Last updated
01/15/2009
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