Organization Active NPI

Dr Courtney Ray Professional Optometric Corporation

  • Optometrist
  • Santa Rosa, CA
National Provider Identifier
1346050184
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR COURTNEY RAY PROFESSIONAL OPTOMETRIC CORPORATION
Practice address
2033 Santa Rosa PLZ
Santa Rosa, CA 95401-6349
Phone
(707) 544-0924
NPI assigned
Jan 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Courtney Jerome Ray, MDNPI 1467524215
Title
Owner
Phone
(831) 535-3119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2033 Santa Rosa PLZ
Santa Rosa, CA 95401-6349

Mailing address

7542 Tara Blvd S
Spanish Fort, AL 36527-5124
Phone (831) 535-3119

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1346050184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7542 TARA BLVD S",
            "city": "SPANISH FORT",
            "state": "AL",
            "postal_code": "365275124",
            "telephone_number": "831-535-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 SANTA ROSA PLZ",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954016349",
            "telephone_number": "707-544-0924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR COURTNEY RAY PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-10",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "831-535-3119",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.