Graves, Merin Amanda

Graves, Merin Amanda is an individual health care provider with primary practice located at 1755 Al-77 , Southside AL 35907-0103. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Graves, Merin Amanda can be contacted via phone (256) 442-6200.

Contact Information

Primary practice address
1755 Al-77 Southside AL 35907-0103
Phone: (256) 442-6200
Fax: (256) 442-6292
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 4669 Florida
Eye and Vision Services Providers / Optometrist 152W00000X S-C72-TA-911 Alabama
Eye and Vision Services Providers / Optometrist 152W00000X 7827T Texas

Profile Details

NPI number 1700172954
LBN Legal business name Graves, Merin Amanda
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2011
Last updated Oct 26th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700172954 NPPES
Alabama MEDICAID 137449

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