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

Mr. Jerome Graham, OPTICIAN

Individual provider Optician · NPI 1700117876

Mr. Jerome Graham, OPTICIAN is an Optician in Greenville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2010

Practice location Address checks out

3743 Old River Rd
Greenville, NC 27834-7351
Phone: (252) 412-4679
Fax: (252) 822-0044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 1821 (NC)

Record details

NPI number1700117876
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedJanuary 28, 2010
Last updated in NPPESJanuary 28, 2010

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