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Contact Information

TY M GRADEN, OD
405 S MARKET ST
PRIMARY EYE CARE CENTER PC
ELIZABETHTOWN, PA17022
 Phone: 717-367-1883
 Fax: 717-367-1884
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for TY M GRADEN · (Male)

NPI Number 1891739066
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/16/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # OEG001522
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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