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Organization

PRIMARY EYE CARE CENTER PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TY M GRADEN OD (OPTOMETRIST)
(717) 367-1883
Entity
Organization

Contact information

Practice address
405 S MARKET ST, ELIZABETHTOWN, PA 17022
(717) 367-1883
(717) 367-1884
Mailing address
405 S MARKET ST, ELIZABETHTOWN, PA 17022
(717) 367-1883
(717) 367-1884

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0E007020T
PA

Other

Enumeration date
10/31/2007
Last updated
03/28/2011
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