Dr. Philip Randle Graham is a Pontotoc, Mississippi based male Optometrist with 44 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 1980. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Philip Randle Graham is 491 for Optometry in Mississippi. Dr. Philip Randle Graham 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Philip Randle Graham speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
44+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
1980
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
14 E Marion St, Pontotoc, Mississippi, 38863-2813
Phone:
662-489-4741
Fax:
662-489-2940
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
0042320319
Enrollment ID:
I20120425000381
NPI Number:
1164572848
NPI Enumeration Date:
12 Jan, 2007
NPI Last Update On:
10 Nov, 2008
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Philip Randle Graham are as mentioned below.
License Number
Specialization
State
Status
491
Optometry
Mississippi
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Philip Randle Graham such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
00087908
Medicaid
Mississippi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 120, Pontotoc, Mississippi
Zip:
38863-0120
Phone Number:
662-489-4741
Fax Number:
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Patients can reach Dr. Philip Randle Graham at 14 E Marion St, Pontotoc, Mississippi or can call to book an appointment on 662-489-4741. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.