Individual provider Active NPI

Tammy Jean Gray, O.D.

  • Optometrist
  • Denver, CO
National Provider Identifier
1144428491
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2558 Issued in CO
Practice address
4999 E Kentucky Ave
Suite 202
Denver, CO 80246-3901
Phone
(303) 691-2228
NPI assigned
Jul 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 573 NV
Optometrist 152W00000X 2558 CO Primary

Addresses

Primary practice location

4999 E Kentucky Ave
Suite 202
Denver, CO 80246-3901

Mailing address

4999 E Kentucky Ave
Ste 202
Denver, CO 80246-2281
Phone (303) 691-2228

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tgray@cceps.intellechartdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111123000341 CO Practitioner - Optometry 3274707575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cherry Creek Eye Physicians andGroup PAC ID 2062489438, 3 clinicians

Practice addresses (Care Compare)

4999 E Kentucky Ave
Suite 202
Denver, CO 80246-2281
Phone (303) 691-2228

Merit-based Incentive Payment System (MIPS)

Final score
91.02 of 100Reported as group
Quality
95.83
Improvement activities
40
Cost
75.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2558COMDPsychologist
573NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Anesthesia Concepts Inc PastSince Dec 22, 2013 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1144428491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "address_2": "STE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802462281",
            "telephone_number": "303-691-2228",
            "fax_number": "303-759-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4999 E KENTUCKY AVE",
            "address_2": "SUITE 202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802463901",
            "telephone_number": "303-691-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "TAMMY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-09",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "573",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgray@cceps.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4999 E Kentucky Ave Ste 202",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802462281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.