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GRAHAM CLOVERLEAF OPTICAL INC.
NPI 1760627376
Optometrist in Van Buren, AR

Active since December 10, 2008
113 N PLAZA CT, VAN BUREN, AR 72956(479) 474-7878(479) 471-1476 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 15, 2024, May 16, 2019 (2 updates tracked since 2019).

About Graham Cloverleaf Optical Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAHAM CLOVERLEAF OPTICAL INC. (NPI 1760627376) is a healthcare organization registered as an optometrist in Van Buren, Arkansas and active in the NPI registry since December 2008. The organization lists Kelly L Graham, Owner/optometrist, as its authorized official.

NPPES Registry Identity

NPI1760627376
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameGRAHAM CLOVERLEAF OPTICAL INC.
Location Address113 N PLAZA CTVan Buren, AR 72956-2269
Mailing Address113 N Plaza CtVan Buren, AR 72956-2269 · (479) 474-7878 · Fax (479) 471-1476
Phone(479) 474-7878
Fax(479) 471-1476
Organization SubpartNo
Authorized OfficialKelly L GrahamOwner/optometrist · (479) 474-7878
Enumeration DateDecember 10, 2008
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1760627376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in AR · AR2380
Definition
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.
113 N PLAZA CT, Van Buren, AR 72956
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Other Identifiers 1

Medicaid171400722AR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KELLY LEIGH GRAHAM O.D.
Optometrist
113 N PLAZA CT
VAN BUREN, AR 72956
Crawford County (479) 474-7878

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Graham Cloverleaf Optical Inc.'s NPI number?

The NPI number for Graham Cloverleaf Optical Inc. is 1760627376. It was assigned to this organization in the NPPES registry on December 10, 2008.

Where is Graham Cloverleaf Optical Inc. located?

Graham Cloverleaf Optical Inc. is located at 113 N Plaza Ct, Van Buren, AR 72956. The listed phone number is (479) 474-7878.

What is Graham Cloverleaf Optical Inc.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Graham Cloverleaf Optical Inc. was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.