Glenn Graham, OD

NPI 1871687640 · on the registry since 2006

Practice

Address: 1245 Broad St
San Luis Obispo, CA 93401
Phone: (805) 542-0700
Fax: (805) 784-9309
Organisation at this address: B Jeffrey Blue Od And Jason Chang Od Inc
Elite Eyecare Medical Group A Medical Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: Optometrist
152W00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-01-22
Status: Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California