Glenn E Graves (NPI# 1780671677, PAC ID# 0648167205) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1780671677 |
| PAC ID by PECOS | 0648167205 |
| Professional Enrollment ID | I20100122000467 |
| Full Name | Glenn E Graves |
| Organization Legal Name | OPHTHALMOLOGY ASSOCIATES S C |
| Address |
6020 S Packard Ave Cudahy WI 53110-3028 |
| Phone Number | 4147696900 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6204723869 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520138 | AURORA ST LUKES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6020 S Packard Ave, Cudahy, WI 53110-3028 | 4147696900 | OPHTHALMOLOGY ASSOCIATES S C |
| 2500 W Layton Ave, Suite 110, Milwaukee, WI 53221-5400 | 4142810424 | OPHTHALMOLOGY ASSOCIATES S C |
| Organization Legal Name | OPHTHALMOLOGY ASSOCIATES S C |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Piyush K Rajurkar | Ophthalmology | Ophthalmology Associates S C | 6020 S Packard Ave, Cudahy, WI 53110-3028 |
| Charles D Mccanna | Ophthalmology | Ophthalmology Associates S C | 6020 S Packard Ave, Cudahy, WI 53110-3028 |
| Hart B Moss | Ophthalmology | Ophthalmology Associates S C | 6020 S Packard Ave, Cudahy, WI 53110-3028 |
| Thomas Vp Alpren | Ophthalmology | Ophthalmology Associates S C | 6020 S Packard Ave, Cudahy, WI 53110-3028 |
| Emily R Detsch | Optometry | Ophthalmology Associates S C | 6020 S Packard Ave, Cudahy, WI 53110-3028 |
| Qian Yang | Optometry | Ophthalmology Associates S C | 6020 S Packard Ave, Cudahy, WI 53110-3028 |
| Edward W Waldeck | Ophthalmology | Ophthalmology Associates S C | 2500 W Layton Ave, Milwaukee, WI 53221-5400 |
| Street Address |
6020 S PACKARD AVE |
| City | CUDAHY |
| State | WI |
| Zip | 53110-3028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Piyush K Rajurkar | Ophthalmology | Ophthalmology Associates S C | 6020 S Packard Ave, Cudahy, WI 53110-3028 |
| Charles D Mccanna | Ophthalmology | Ophthalmology Associates S C | 6020 S Packard Ave, Cudahy, WI 53110-3028 |
| Hart B Moss | Ophthalmology | Ophthalmology Associates S C | 6020 S Packard Ave, Cudahy, WI 53110-3028 |
| Thomas Vp Alpren | Ophthalmology | Ophthalmology Associates S C | 6020 S Packard Ave, Cudahy, WI 53110-3028 |
| Emily R Detsch | Optometry | Ophthalmology Associates S C | 6020 S Packard Ave, Cudahy, WI 53110-3028 |
| Qian Yang | Optometry | Ophthalmology Associates S C | 6020 S Packard Ave, Cudahy, WI 53110-3028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikki J Allen | Family Medicine | Independent Physicians of Wisconsin LLC | 4580 S Nicholson Ave, Cudahy, WI 53110-1360 |
| Gina Black | Physical Therapy | Sports Physical Therapists of Cudahy LLC | 3503 E Layton Ave, Suite 100, Cudahy, WI 53110-1408 |
| Elizabeth J. Zierke | Physical Therapy | Sports Physical Therapists of Cudahy LLC | 3503 E Layton Ave, Suite 100, Cudahy, WI 53110-1408 |
| James L Bykowski | Chiropractic | 3552 E Barnard Ave, Bykowski Chiropractic, Cudahy, WI 53110-1602 | |
| Kenneth R Koch | Chiropractic | 5133 S Pennsylvania Ave, Suite 103, Cudahy, WI 53110-1839 | |
| Richard W Miller | Optometry | Miller Optometry Inc | 5102 S Packard Ave, Cudahy, WI 53110-1922 |
| Renee B Haefs | Optometry | Miller Optometry Inc | 5102 S Packard Ave, Cudahy, WI 53110-1922 |
| David K Nyland | Chiropractic | 5820 S Packard Ave, Cudahy, WI 53110-2616 | |
| Nancy T Nguyen | Family Medicine | Ascension Medical Group Southeast Wisconsin Inc | 3501 E Ramsey Ave, Cudahy, WI 53110-3009 |
| Kristi L Adyniec | Nurse Practitioner | Ascension Medical Group Southeast Wisconsin Inc | 3501 E Ramsey Ave, Cudahy, WI 53110-3009 |
| Find all physicians in zip 53110 | |||
| City | CUDAHY |
| Zip Code | 53110 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | CUDAHY + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Glenn E Graves.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.