National Provider Identifier
Jacob Graue
Jacob Graue is listed in the NPPES registry with a primary specialty of Optician in Williamsville, NY and a listed phone number of (716) 565-0261.
Profile Overview
- NPI
- 1952129389
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- October 03, 2024
- Last Updated
- October 03, 2024
Practice Location
- 5033 Transit RD
- Williamsville, NY 14221-4132
Phone: (716) 565-0261
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1952129389
- Entity Type
- Individual
- Last Name
- Graue
- First Name
- Jacob
- Mailing Street Address
- 5033 Transit RD
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4132
- Mailing Country
- US
- Practice Street Address
- 5033 Transit RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-4132
- Practice Country
- US
- Practice Phone
- (716) 565-0261
- Enumeration Date
- October 03, 2024
- Last Updated
- October 03, 2024
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 03, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)