Provider Demographics
NPI:1922316231
Name:DR GRAHAM ROWLAND LLC
Entity Type:Organization
Organization Name:DR GRAHAM ROWLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GRAHAM
Authorized Official - Middle Name:HUGH
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:205-447-9379
Mailing Address - Street 1:2344 DALTON DR
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1214
Mailing Address - Country:US
Mailing Address - Phone:205-447-9379
Mailing Address - Fax:
Practice Address - Street 1:2300 RIVERCHASE GALLERIA
Practice Address - Street 2:JCPENNEY OPTICAL
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2310
Practice Address - Country:US
Practice Address - Phone:205-447-9379
Practice Address - Fax:205-987-2228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-C40-TA-856152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1750692950OtherINDIVIDUAL NPI FOR GRAHAM ROWLAND, O.D.
AL511-13425OtherBLUE CROSS BLUE SHIELD OF ALABAMA