Individual provider Active NPI

Maria Claire Bray, OD

  • Optometrist
  • Aurora, CO
National Provider Identifier
1235810177
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0003989 Issued in CO
Practice address
24200 E Smoky Hill Rd
Aurora, CO 80016-1381
Phone
(720) 870-2828
NPI assigned
Jul 25, 2023
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0003989 CO Primary
Optometrist 152W00000X 1235810177 CO

Addresses

Primary practice location

24200 E Smoky Hill Rd
Aurora, CO 80016-1381

Mailing address

24200 E Smoky Hill Rd
Aurora, CO 80016-1381
Phone (720) 870-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240208001852 TX Practitioner - Optometry 8921441791 Reassigns benefits to 1 organization
I20240301002589 CO Practitioner - Optometry 8921441791 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0003989COMDOptometrist
1235810177COMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ward Eye Associates PC Optometrist CurrentSince Jan 2, 2024 Accepting new patients

Locations

105 Cottage Rd
Carthage, TX 75633
Phone (800) 730-4915

1821 Judson Rd
Longview, TX 75605
Phone (903) 758-8832

2306 E End Blvd S
Marshall, TX 75672
Phone (903) 938-2555

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1235810177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24200 E SMOKY HILL RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161381",
            "telephone_number": "720-870-2828",
            "fax_number": "720-870-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24200 E SMOKY HILL RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800161381",
            "telephone_number": "720-870-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "MARIA",
        "middle_name": "CLAIRE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-25",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "0003989",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CO",
            "license": "1235810177",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.