Dr. Dale K. Graf O.D.
Optometrist in Selah, WA(View on Map)
Full Name
Dr. Dale K. Graf O.D.
NPI Number
1881698793
NPI Type
Individual Provider
Gender
Male
Enumeration Date
06/08/2005
Specialties
(Taxonomies)Name
Code
152W00000X
152WC0802X
152WL0500X
152WX0102X
152WP0200X
152WS0006X
152WV0400X
Primary Taxonomy
Yes
No
No
No
No
No
No
Licenses
State
Washington
License Number
261-0001320
Contact
Information
Purpose
Mailing
Location
Address
105 W ORCHARD AVE
105 W ORCHARD AVE
City
Selah
Selah
State
WA
WA
Postal Code
98942-1329
98942-1329
Country
US
US
Telephone Number
(509) 697-6177
(509) 697-6177
Identifiers
Identifier
WA0786
A002
038859
17129
GR2387
2011898
0147685
2051902
082179 OD
Identifier State
WA
WA
WA
WA
WA
WA
WA
WA
WA
Identifier Issuer
NORTHWEST BENEFIT NETWORK
TRICARE SUBMITTER ID
ARBO OE TRACKER CARD
DEPT OF L&I - SELAH VISIO
REGENCE BLUE SHIELD
Unknown
DEPT OF L&I - DR GRAF
Unknown
CHAMPUS
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/13/2008