GREGARY W GRAVES (O.D.) – Optometrist, NPI 1275618183

GREGARY W GRAVES (O.D.) is a healthcare provider. based in Columbus, Ohio. specializing in Optometrist. They hold the professional credentials O.D.. They hold a License No. 4646 (OH). The NPI Number for GREGARY W GRAVES (O.D.) is 1275618183

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
GREGARY W GRAVES (O.D.)
NPI
1275618183
Phone
(614) 859-1906
Address
2780 AIRPORT DR
Enumeration Date
26 October 2006
Last Update Date
19 September 2018

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
6146452300
Graduation Year
1995 (31 years ago)
PAC ID
3476538083
Group Practice PAC ID
3678469129
Professional Enrollment ID
I20040618001208
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for GREGARY W GRAVES (O.D.)

  • 2780, Airport Drive, Columbus, Sharon, Franklin, Ohio, 43219, United States

    STE 100

    COLUMBUS, OH 432192289

    Phone: (614) 859-1906

    Fax: (614) 645-5517

    Type: Mailing

  • 1180, East Main Street, South-of-Main, Hanford, Columbus, Franklin, Ohio, 43205, United States

    COLUMBUS, OH 432051902

    Phone: (614) 645-5540

    Fax: (614) 645-5300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-06-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040618001208IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43219)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678469129View full group profile

Reviews

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Frequently asked questions

What NPI should I save for GREGARY W GRAVES (O.D.)?
Save NPI 1275618183 if you need a stable reference for GREGARY W GRAVES (O.D.).
Is GREGARY W GRAVES (O.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does GREGARY W GRAVES (O.D.) treat or focus on?
Patients typically see GREGARY W GRAVES (O.D.) under the specialty Optometrist. Clinical services aligned with this taxonomy classification.
What location metadata exists for GREGARY W GRAVES (O.D.)?
The page summarizes Columbus, Ohio for GREGARY W GRAVES (O.D.); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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