Organization
GRAHAM CLOVERLEAF OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY L GRAHAM O.D. (OWNER/OPTOMETRIST)
(479) 474-7878
Entity
Organization
Contact information
Practice address
113 N PLAZA CT, VAN BUREN, AR 72956-2269
(479) 474-7878
(479) 471-1476
Mailing address
113 N PLAZA CT, VAN BUREN, AR 72956-2269
(479) 474-7878
(479) 471-1476
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AR2380
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171400722
—
AR
Enumeration date
12/10/2008
Last updated
05/15/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us