Provider Demographics
NPI:1386972461
Name:MCPARTLAND, GRAHAM (OD)
Entity type:Individual
Prefix:DR
First Name:GRAHAM
Middle Name:
Last Name:MCPARTLAND
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:788 S FRONT ST
Mailing Address - Street 2:STE A
Mailing Address - City:CENTRAL POINT
Mailing Address - State:OR
Mailing Address - Zip Code:97502-2725
Mailing Address - Country:US
Mailing Address - Phone:541-727-7501
Mailing Address - Fax:541-727-7775
Practice Address - Street 1:788 S FRONT ST
Practice Address - Street 2:STE A
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502-2725
Practice Address - Country:US
Practice Address - Phone:541-727-7501
Practice Address - Fax:541-727-7775
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3342AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR6356530001Medicare NSC