Steven Douglas Graham (NPI# 1013931153, PAC ID# 9133113053) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1013931153 |
| PAC ID by PECOS | 9133113053 |
| Professional Enrollment ID | I20040413001384 |
| Full Name | Steven Douglas Graham |
| Organization Legal Name | VISION SOURCE OF LIBERAL INC |
| Address |
2136 N Kansas Ave Liberal Kansas KS 67901-2012 |
| Phone Number | 6206243841 |
| Gender | M |
| Credential | OD |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 1991 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 0042496572 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 621 E Stevens, Elkhart, KS 67950-7709 | 6206971244 | VISION SOURCE OF LIBERAL INC |
| 2136 N Kansas Ave, Liberal Kansas, KS 67901-2012 | 6206243841 | VISION SOURCE OF LIBERAL INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_012_overall | Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation | 100% | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_117_overall | Diabetes: Eye Exam | 100% |
| Organization Legal Name | VISION SOURCE OF LIBERAL INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhiannon Radcliff | Optometry | Vision Source of Liberal Inc | 2136 N Kansas Ave, Liberal Kansas, KS 67901-2012 |
| Street Address |
2136 N KANSAS AVE |
| City | LIBERAL KANSAS |
| State | KS |
| Zip | 67901-2012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhiannon Radcliff | Optometry | Vision Source of Liberal Inc | 2136 N Kansas Ave, Liberal Kansas, KS 67901-2012 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suhail A Ansari | Orthopedic Surgery | 2138 N Kansas Ave, Liberal, KS 67901-2012 | |
| Elizabeth Ann Fieser | Optometry | Jury, Farrar and Associates, Doctors of Optometry, Pa | 2381 N Kansas Ave, Liberal, KS 67901-2055 |
| James S Jury | Optometry | Jury, Farrar and Associates, Doctors of Optometry, Pa | 2381 N Kansas Ave, Liberal, KS 67901-2055 |
| Ryan R Farrar | Optometry | Jury, Farrar and Associates, Doctors of Optometry, Pa | 2381 N Kansas Ave, Liberal, KS 67901-2055 |
| Molly Rachow | Physical Therapy | 111 Lilac Dr, Liberal, KS 67901-2058 | |
| Brandi L Boller | Family Medicine | 11 W Pkwy Blvd, Liberal, KS 67901-2081 | |
| Michael J Fulton | Optometry | 250 E Tucker Rd, Suite B, Liberal, KS 67901-2188 | |
| Varinder S Gill | Internal Medicine | 111 E Tucker Rd, Suite F, Liberal, KS 67901-2191 | |
| Dora L Davis | Optometry | 1401 W, 15th, Liberal, KS 67901-2275 | |
| Jose Uriel Estrada | Chiropractic | 2330 N Kansas Ave, Suite 5, Liberal, KS 67901-2379 | |
| Find all physicians in zip 67901 | |||
| City | LIBERAL KANSAS |
| Zip Code | 67901 |
| Specialty | OPTOMETRY |
| City + Specialty | LIBERAL KANSAS + OPTOMETRY |
Please comment or provide details below to improve the information on Steven Douglas Graham.
| 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.