Healthcare Provider Details

I. General information

NPI: 1386565182
Provider Name (Legal Business Name): GRAFTON FAMILY EYE CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1106 WASHINGTON ST
GRAFTON WI
53024-1916
US

IV. Provider business mailing address

1106 WASHINGTON ST
GRAFTON WI
53024-1916
US

V. Phone/Fax

Practice location:
  • Phone: 760-791-8730
  • Fax: 262-247-0660
Mailing address:
  • Phone: 262-376-1800
  • Fax: 262-247-0660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER A ALVAREZ
Title or Position: OWNER
Credential: OD
Phone: 920-344-5716