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

Glenn E. Graves, MD

Individual provider Ophthalmology Physician · NPI 1780671677

Glenn E. Graves, MD is an Ophthalmology in Greenfield, Wisconsin. Qualified in 1985, 41 years ago. Practices with Ophthalmology Associates S C, a 9-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
41
Licensed in
WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4600 W Loomis Rd Ste 310
Greenfield, WI 53220-4858
Phone: (414) 281-0963
Fax: (414) 281-0959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Glaucoma Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0009X · Licence 27890-020 (WI)
Ophthalmology Physician Taxonomy 207W00000X · Licence 27890-020 (WI)

Record details

NPI number1780671677
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 5, 2005
Last updated in NPPESApril 23, 2024
Certification dateApril 23, 2024
Mailing address6020 S Packard Ave, Cudahy, WI 53110-3028

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 1985 (41 years in practice)
Group practice Ophthalmology Associates S C — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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