Bobby G Ray OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

2132TG Issued in TX

Legal business name

BOBBY G RAY OD PA

Practice address

4400 N Midland Dr Ste 404
Midland, TX 79707-3388

Phone

(432) 695-6251

Fax

(432) 224-1500

NPI assigned

Feb 27, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bobby G Ray, O.D.

Title

President

Phone

(432) 695-6251

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372291200000",
    "number": "1134469190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50247",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797100247",
            "telephone_number": "432-695-6251",
            "fax_number": "432-224-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N MIDLAND DR STE 404",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797073388",
            "telephone_number": "432-695-6251",
            "fax_number": "432-224-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOBBY G RAY OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-06-27",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-695-6251",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "2132TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0010YH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316066501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Midland, TX
• Providers in Midland, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.