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GRADY D. GAFFORD MD PC
NPI 1942876917
Optometrist in Towanda, PA

Active since June 01, 2021
899 CRAFT MASTER ROAD, TOWANDA, PA 18848(570) 265-3668(570) 265-8936 Get Directions Write a Review

NPPES record last updated: June 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grady D. Gafford Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRADY D. GAFFORD MD PC (NPI 1942876917), doing business as Boardman Family Eyecare, is a healthcare organization registered as an optometrist in Towanda, Pennsylvania and active in the NPI registry since June 2021. The organization lists Jeanette A Fraser, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1942876917
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameGRADY D. GAFFORD MD PC
Location Address899 CRAFT MASTER ROADTowanda, PA 18848-8936
Mailing Address15 Meade Street, Suite U-1Wellsboro, PA 16901 · (570) 265-3668 · Fax (570) 265-8936
Phone(570) 265-3668
Fax(570) 265-8936
Organization SubpartNo
Authorized OfficialJeanette A FraserOffice Manager · (570) 724-2131
Enumeration DateJune 1, 2021
NPPES CertifiedMay 27, 2021
✔ NPI 1942876917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
899 CRAFT MASTER ROAD, Towanda, PA 18848
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Other Names 1

Doing Business AsBoardman Family Eyecare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grady D. Gafford Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Grady D. Gafford MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Avery Boardman, OD
Optometry
NPI 1073603718
889 CRAFTMASTER ROAD
Wysox, PA 18854
(570) 265-3668
✔ PECOS✔ Accepts MedicareSame address
Jodi Duda, OD
Optometry
NPI 1144237116
547 CANTON ST
Troy, PA 16947
(570) 297-2970
✔ PECOS✔ Accepts Medicare19 mi
Samantha Rutkoski, OD
Optometry
NPI 1164370177
15 MEADE ST STE U1
Wellsboro, PA 16901
(570) 724-2131
✔ PECOS✔ Accepts Medicare46 mi
Scott Rutkoski, O.D.
Optometry
NPI 1750392775
15 MEADE ST SUITE U-1
Wellsboro, PA 16901
(570) 724-2131
✔ PECOS✔ Accepts Medicare46 mi
Grady Gafford, M.D.
Ophthalmology
NPI 1649281627
15 MEADE ST SUITE 1
Wellsboro, PA 16901
(570) 724-2131
✔ PECOS46 mi
Daniel Fassero, MD
Ophthalmology
NPI 1750489894
23 S ARCH ST
Milton, PA 17847
(570) 768-4970
✔ PECOS✔ Accepts Medicare57 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grady D. Gafford MD PC's NPI number?

The NPI number for Grady D. Gafford MD PC is 1942876917. It was assigned to this organization in the NPPES registry on June 1, 2021. The provider is doing business as Boardman Family EyeCare.

Where is Grady D. Gafford MD PC located?

Grady D. Gafford MD PC is located at 899 Craft Master Road, Towanda, PA 18848. The listed phone number is (570) 265-3668.

What is Grady D. Gafford MD PC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Grady D. Gafford MD PC enrolled in Medicare?

Yes. Grady D. Gafford MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grady D. Gafford MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Grady D. Gafford MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Optometry (4) and Ophthalmology (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grady D. Gafford MD PC was last updated on June 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.