ALVAN LEON GRAHAM JR. (NPI# 1083698146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083698146 |
| Entity Type | Individual |
| Full Name | ALVAN LEON GRAHAM JR. |
| Other Name | LEON GRAHAM JR. |
| Practice Address |
5377 Highway 136 Trenton GA 30752-2900 |
| Mailing Address |
Po Box 156 Trenton GA 30752-0156 |
| Practice Telephone | 7066577559 |
| Practice Fax Number | 7066573937 |
| Mailing Telephone | 7066577559 |
| Mailing Fax Number | 7066573937 |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPT000853 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BC BS OF GA | 52066170-001 | 01 |
| GA | OTHER INSURANCE | 621040320 | 01 |
| GA | 00186293A | 05 | |
| AL | BC BS OF AL | 08821 | 01 |
| GA | MEDICARE RAILROAD | 410034780 | 01 |
| TN | BC BS OF TN | 0049158 | 01 |
| AL | 009802850 | 05 |
| Street Address |
5377 HIGHWAY 136 |
| City | TRENTON |
| State | GA |
| Zip Code | 30752-2900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770126492 | Frederic Oehlschlaeger | Pharmacist | 5431 Ga-136, Trenton, GA 30752 | 2019-10-25 |
| 1649700212 | Lisa Michelle Stephans | Counselor | 12586 North Main Street, Trenton, GA 30752 | 2017-06-15 |
| 1881019305 | Crystal L Hancock | Nurse Practitioner | 12978 North Main Street, Trenton, GA 30752 | 2014-02-20 |
| 1548602758 | Freds Stores of Tennessee Inc. | Pharmacy | 11858 S Main St, Trenton, GA 30752 | 2013-07-29 |
| 1699021360 | Megan Hall Nunn | Pharmacist | 112 Crimson Drive, Trenton, GA 30752 | 2012-07-31 |
| 1881886398 | Complete Chiropractic Care, LLC | Chiropractor | 12551 North Main, Trenton, GA 30752 | 2007-08-17 |
| 1184783771 | Cindy Marie Simmons | Physician Assistant | 111 North Pine Street, Trenton, GA 30752 | 2006-12-08 |
| 1124190962 | Lookout Mountain Community Services | Community/Behavioral Health | 12580 North Main St., Trenton, GA 30752 | 2006-11-15 |
| 1386725893 | Dade County Board of Health | Public Health or Welfare | 71 Case Ave, Suite H100, Trenton, GA 30752 | 2006-10-18 |
| 1164435954 | Denis L Mcdonald | Optometrist | 5377 Hwy 136, Trenton, GA 30752 | 2006-08-14 |
| Find all providers in zip 30752 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952782328 | Angelina Anna Cerone | Optometrist | 3045 Busenbark Rd Ste B, Trenton, OH 45067-7611 | 2015-06-11 |
| 1174947691 | Liberty Eye Care | Optometrist | 3452 Broidy Rd, Trenton, NJ 08641-5305 | 2014-02-05 |
| 1992924682 | Doris Allison Sacks Wilner | Optometrist | 1901 North Olden Ave, Suite 27a, Trenton, NJ 08618 | 2007-04-24 |
| 1457495731 | Sloan Eyecare Center L.l.c | Optometrist | 614 E 9th St, Trenton, MO 64683-2211 | 2007-02-19 |
| 1720133440 | Pearle Vision Inc | Optometrist | 3420 West Rd, Trenton, MI 48183-2323 | 2007-01-24 |
| 1497849681 | James Alan Yates | Optometrist | 107 E 1st St, Trenton, TN 38382-1841 | 2006-10-03 |
| 1164435954 | Denis L Mcdonald | Optometrist | 5377 Hwy 136, Trenton, GA 30752 | 2006-08-14 |
| 1497711956 | Michael A Newman | Optometrist | 860 Lower Ferry Road, Trenton, NJ 08628 | 2006-04-25 |
| 1184686883 | Susan Mithoff Quade | Optometrist | 2299 West Rd, Trenton, MI 48183-3615 | 2006-04-06 |
| 1952301053 | John L Holcomb | Optometrist | 1210 Oklahoma Ave, Trenton, MO 64683-2559 | 2005-07-29 |
| Find all providers in TRENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.