MS. RITA J GRAHAM (NPI# 1588793269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588793269 |
| Entity Type | Individual |
| Full Name | MS. RITA J GRAHAM |
| Credential | ABOC |
| Practice Address |
4306 Lomas Blvd Ne Albuquerque NM 87110-7751 |
| Practice Telephone | 5052658846 |
| Practice Fax Number | 5052659684 |
| Mailing Telephone | 5052658846 |
| Mailing Fax Number | 5052659684 |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
ABO 5945 | NM | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003149766 | Rita Rae Graham | Specialist | 1244 American Way, Libertyville, IL 60048-3936 | 2009-09-14 |
| 1881641603 | Rita Kais Graham | Physical Therapist | 2060 E Paris Ave Se, Suite 200, Grand Rapids, MI 49546-6501 | 2006-05-27 |
| Street Address |
4306 LOMAS BLVD NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87110-7751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356418669 | Christine M. Kniffen, O.d., L.L.C. | Optometrist | 4306 Lomas Blvd Ne, Albuquerque, NM 87110-7751 | 2006-11-29 |
| 1609917038 | Mark Edward Whitesides | Optometrist | 4306 Lomas Blvd Ne, Albuquerque, NM 87110-7751 | 2007-02-09 |
| 1619021508 | Christine M Kniffen | Optometrist | 4306 Lomas Blvd Ne, Albuquerque, NM 87110-7751 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215550199 | Sabrina Jennifer Lujan | Counselor | 8401 Constitution Ave Nw, Albuquerque, NM 87110 | 2020-05-26 |
| 1649829318 | Robert D. Oliver | Technician | 2705 Texas Street Ne, Albuquerque, NM 87110 | 2019-09-05 |
| 1033770904 | Life Re-created LLC | Counselor | 3939 San Pedro Dr. Ne, Bld C, Ste 8, Albuquerque, NM 87110 | 2019-06-21 |
| 1497319693 | Clear Choice Vision Care, LLC | Optometrist | 6600 Menaul Blve Ne, Suite M5a, Albuquerque, NM 87110 | 2019-04-24 |
| 1790257558 | Diana M Nicolas | Dietitian, Registered | 8300 Constitution Ave Ne Bld D, Albuquerque, NM 87110 | 2018-12-18 |
| 1689168403 | Robin N Hermes, Md, PC | Anesthesiology | 2440 Lousiana Blvd. Ne, Ste 580, Albuquerque, NM 87110 | 2018-06-15 |
| 1710481726 | Desert Mountain Eyecare LLC | Optometrist | 5504 Menaul Blvd Ne Ste Aandb, Albuquerque, NM 87110 | 2018-03-23 |
| 1659873131 | Amanda Lacasse | Registered Nurse | 6400 Uptown Blvd Ne Suite 360 West, Albuquerque, NM 87110 | 2018-03-01 |
| 1518485655 | Danielle Liegh Wyne | Counselor | 6121 Indian School Rd, Suite 141, Albuquerque, NM 87110 | 2017-09-08 |
| 1265957237 | Myrrhine Faller | Speech-Language Pathologist | 6020 Constitution Ave. Ne, Suite 4, Albuquerque, NM 87110 | 2017-08-10 |
| Find all providers in zip 87110 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275056186 | Marie Angela Archibeque | Technician/Technologist | 2910 San Mateo Blvd Ne Ste 6, Albuquerque, NM 87110-3187 | 2017-07-23 |
| 1548541204 | Roberta Jean Montoya I | Technician/Technologist | 3905 Isleta Blvd Sw, Albuquerque, NM 87105-6130 | 2011-09-07 |
| 1629396015 | Lorraine Gomez | Technician/Technologist | 4201 Central Ave Ne, #b2, Albuquerque, NM 87105-1630 | 2010-05-10 |
| 1164505087 | Wal-mart Stores East, Lp | Technician/Technologist | 10224 Coors Byp Nw, Albuquerque, NM 87114-4398 | 2006-10-23 |
| 1114000452 | Wal-mart Stores East, Lp | Technician/Technologist | 2550 Coors Blvd Nw, Albuquerque, NM 87120-2123 | 2006-10-23 |
| 1891883476 | Sam's Club Optical | Technician/Technologist | 1421 N. Renaissance Blvd. Ne, Albuquerque, NM 87101 | 2006-10-10 |
| 1982922670 | Gomez Eyewear, LLC | Technician/Technologist | 10701 Montgomery Blvd Ne, Suite L, Albuquerque, NM 87111-3816 | 2010-05-05 |
| 1104909456 | Wal-mart Stores East, Lp | Technician/Technologist | 3500 Coors Blvd Sw, Albuquerque, NM 87121-5274 | 2006-10-23 |
| 1720161292 | Walmart Stores East, Lp | Technician/Technologist | 8000 Academy Rd Ne, Albuquerque, NM 87111-1159 | 2006-10-20 |
| 1821180753 | Sam's Club Optical | Technician/Technologist | 300 Eubank Blvd Ne, Albuquerque, NM 87123-2755 | 2006-09-28 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87110 |
Please comment or provide details below to improve the information on MS. RITA J GRAHAM.
| 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.