Active NPI
Roger Sloan Gray Jr., MD
- Ophthalmology Physician
- Rice Lake, WI
National Provider Identifier
1154323608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 30897020
- Practice address
- 2820 S Wisconsin Ave
Rice Lake, WI 54868-8573 - Phone
- (745) 234-8444
- Fax
- (715) 234-0041
- NPI assigned
- Aug 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 30897020 | WI | Primary |
Addresses
Primary practice location
2820 S Wisconsin Ave
Rice Lake, WI 54868-8573
Mailing address
2715 Damon St
Eau Claire, WI 54701-3899
Phone (715) 834-8471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31602400 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rgray@chippewavalley.emadirect.md | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101119001212 | WI | Practitioner - Ophthalmology | 8224920194 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 21.65 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 72.16
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30897020 | WI | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chippewa Valley Eye Clinic LTD | Ophthalmology | Current | Accepting new patients |
Locations
2715 Damon St
Eau Claire, WI 54701
Phone (715) 834-8471
1110 Oak Ridge Dr
Eau Claire, WI 54701
Phone (715) 830-0732
2820 S Wisconsin Ave
Rice Lake, WI 54868
Phone (715) 234-8444
Interoperability endpoints
- rgray@chippewavalley.emadirect.md
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Eau Claire, WI
- NPI 1306838487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1154323608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2715 DAMON ST",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547013899",
"telephone_number": "715-834-8471",
"fax_number": "715-834-0373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 S WISCONSIN AVE",
"city": "RICE LAKE",
"state": "WI",
"postal_code": "548688573",
"telephone_number": "745-234-8444",
"fax_number": "715-234-0041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ROGER",
"middle_name": "SLOAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-15",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "30897020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31602400",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rgray@chippewavalley.emadirect.md",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "2820 S Wisconsin Ave",
"city": "Rice Lake",
"state": "WI",
"country_code": "US",
"postal_code": "548688573",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rice Lake, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.