Richard J. Gray O.D. Inc.

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

14255 Issued in CA

Legal business name

RICHARD J. GRAY O.D. INC.

Practice address

11896 Amargosa Rd
Victorville, CA 92392-8133

Phone

(760) 948-4285

Fax

(760) 948-4875

NPI assigned

Dec 18, 2014

Last updated

Dec 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Richard James Gray, O.D.

Title

Optometrist

Phone

(760) 948-4285

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1326446626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11896 AMARGOSA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928133",
            "telephone_number": "760-948-4285",
            "fax_number": "760-948-4875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11896 AMARGOSA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928133",
            "telephone_number": "760-948-4285",
            "fax_number": "760-948-4875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. GRAY O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "760-948-4285",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7422",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "14255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Reyna
• Justin B Reynolds
• Megan Reynolds, PNP
• Joshua Rhoads
• Catherine H Rice, MD
• Richard Kakes, M. D. Inc
• Danay Richards
• Jacqueline Richards
• Stephanie Kumalao Richardson
• Stephanie Marie Richardson, FNP

• Corneal and Contact Management Optometrist in Victorville, CA
• Providers in Victorville, CA by specialty
• Corneal and Contact Management Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.