Organization
OPTIBARN
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
20 COLLEGE AVE, ELIZABETHTOWN, PA 17022
(717) 367-8234
(717) 367-1884
Mailing address
20 COLLEGE AVE, ELIZABETHTOWN, PA 17022
(717) 367-8234
(717) 367-1884
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OE007020T
PA
Other
Enumeration date
01/03/2008
Last updated
01/03/2008
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