NPI 1043704794

Tiffany Nicole Graham, OD

Practitioner Optometrist Warwick, RI

Practice location

Address: 566 Toll Gate Rd, Warwick, RI 02886-2799
Phone: (401) 738-4800
Fax: (508) 823-0425
Mailing address: 2401 Summit Dr, Bridgewater, MA 02324-2183

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODTG00662 (RI)

Other Optometrist providers in Rhode Island →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 5309 (MA)

Registry record

NPI: 1043704794
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Jun 2018
Record last updated: 11 Dec 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.