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

Kenneth B Graham

Individual provider Ophthalmology Physician · NPI 1457464778

Kenneth B Graham is an Ophthalmology in Great Neck, New York. Qualified in 1994, 32 years ago. Practices with Long Island Vitreo Retinal Consultants PC, a 20-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
32
Licensed in
NY
In the registry since
2006
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Practice location Address checks out

600 Northern Blvd Ste 216
Great Neck, NY 11021
Phone: (516) 466-0390
Fax: (516) 829-0520
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 224987 (NY)

Record details

NPI number1457464778
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 17, 2006
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing address600 Northern Blvd, Suite 216, Great Neck, NY 11021

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Long Island Vitreo Retinal Consultants Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Great Neck