Gregary W Graves, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4646 Issued in OH

Practice address

1180 E Main St
Columbus, OH 43205-1902

Phone

(614) 645-5540

Fax

(614) 645-5300

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregary.graves@direct.p1h.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Columbus Neighborhood Health Center Inc

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Circleville, OH
  • NPI 1578985453
  Medicare reassignment NPD
• Columbus Neighborhood Health Center Inc

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1497817142
  NPD
• Columbus Neighborhood Health Center Inc

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1710310594
  NPD
• Columbus Neighborhood Health Center Inc

  dba PrimaryOne Health

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1851474993
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1275618183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD STE 2800",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193389",
            "telephone_number": "614-859-1906",
            "fax_number": "614-458-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051902",
            "telephone_number": "614-645-5540",
            "fax_number": "614-645-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVES",
        "first_name": "GREGARY",
        "middle_name": "W",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183902",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tonya D Graves Thomas
• Brandia Graves
• Deidre A Graves, LPN
• Emily Graves, PHARMD
• Garrison Gilchrist Graves, DO
• Katlyn Graves
• Keandre Graves
• Kelly Graves
• Kennedy Alise Graves
• Logan Graves

• Optometrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.