Active NPI
Matthew Paul Graden
- Optometrist
- Carlisle, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG004022
- Practice address
- 25 State Ave
Carlisle, PA 17013-4420 - Phone
- (717) 249-4948
- NPI assigned
- Jun 27, 2023
- Last updated
- Jun 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG004022 | PA | Primary |
Addresses
Primary practice location
25 State Ave
Carlisle, PA 17013-4420
Mailing address
164 Stonebrook Dr
Palmyra, PA 17078-4408
Phone (717) 712-6613
Other practice location 1
100 N Walnut St
Mechanicsburg, PA 17055-3364
Phone (717) 766-4757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 N Walnut St
Mechanicsburg Eye Associates
Mechanicsburg, PA 17055-3364
Phone (717) 766-4757
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sans Pareil Eyecare | Optometrist | Current | Accepting new patients |
| James P. Tuttle, OD | Optometrist | Past | Accepting new patients |
| Mechanicsburg Eye Associates LLC | Optometrist | Past | Accepting new patients |
Locations
25 State Ave
Carlisle, PA 17013
Phone (717) 220-8980
234 Rosedale Dr
Manchester, PA 17345
Phone (717) 266-5661
100 N Walnut St
Mechanicsburg, PA 17055
Phone (717) 628-3693
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wheatlyn EyeCare
- Corneal and Contact Management Optometrist
- Manchester, PA
- NPI 1346506250
-
dba Mechanicsburg Eye Associates
- Optometrist
- Mechanicsburg, PA
- NPI 1982662680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1619653292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "164 STONEBROOK DR",
"city": "PALMYRA",
"state": "PA",
"postal_code": "170784408",
"telephone_number": "717-712-6613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 STATE AVE",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170134420",
"telephone_number": "717-249-4948"
}
],
"practiceLocations": [
{
"address_1": "100 N Walnut St",
"address_purpose": "LOCATION",
"city": "Mechanicsburg",
"state": "PA",
"postal_code": "170553364",
"country_code": "US",
"telephone_number": "717-766-4757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRADEN",
"first_name": "MATTHEW",
"middle_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG004022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.