Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Glenn Nicolas Graham, OD

Individual provider Optometrist · NPI 1871687640

Dr. Glenn Nicolas Graham, OD is an Optometrist in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1245 Broad St
San Luis Obispo, CA 93401
Phone: (805) 542-0700
Fax: (805) 784-9309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 7203T (CA)

Record details

NPI number1871687640
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedOctober 3, 2006
Last updated in NPPESJanuary 22, 2014

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