Physician Compare National (NPI:1508248329)

HEALTHCARE PROVIDER: ABIGAIL GLENNA MENNER O.D., F.A.A.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1508248329
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173810041
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160920001742
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	GRAEFF
	Individual professional last name
Provider First Name	ABIGAIL
	Individual professional first name
Provider Middle Name	G
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	2015
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	CHRIS A. SMILEY, O.D. AND ASSOCIATES, LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	0244133866
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	730 MOUNT AIRYSHIRE BLVD A
	Group Practice or individual's line 1 address
City	COLUMBUS
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	432351364
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6148467574
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y