Ty M Graden, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG001522 Issued in PA

Practice address

405 S Market St
Primary Eye Care Center PC
Elizabethtown, PA 17022

Phone

(717) 367-1883

Fax

(717) 367-1884

NPI assigned

Jun 16, 2006

Last updated

Jul 13, 2026By the provider in NPPES

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

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Primary Eye Care Center PC

  • Optometrist
  • Elizabethtown, PA
  • NPI 1205015815
  Medicare reassignment NPD Authorized official
• Optibarn

  • Optometrist
  • Elizabethtown, PA
  • NPI 1932384336
  NPD (past) Authorized official

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891739066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 S MARKET ST",
            "address_2": "PRIMARY EYE CARE CENTER PC",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "17022",
            "telephone_number": "717-367-1883",
            "fax_number": "717-367-1884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S MARKET ST",
            "address_2": "PRIMARY EYE CARE CENTER PC",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "17022",
            "telephone_number": "717-367-1883",
            "fax_number": "717-367-1884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRADEN",
        "first_name": "TY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ginder, CRNP
• Robin D Gish, M.D.
• Adam Gockley, PHARMD
• Stanley M Godshall, M.D.
• Jamie E Golding, LMT
• Lindsey Taylor Gregan, PA-C
• Nikita Anne Grove, RDN
• Marie Elizabeth Grube, PTA
• Brandon William Grubic, DDS
• Yvonne Limbi Gumne

• Optometrist in Elizabethtown, PA
• Providers in Elizabethtown, PA by specialty
• Optometrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.
• 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.

Verify at the official NPI Registry.