Individual provider Active NPI

Daniel Bray, O.D.

  • Optometrist
  • Ajo, AZ
National Provider Identifier
1376530873
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
859 Issued in AZ
Practice address
24 N Plaza St
Ajo, AZ 85321-2464
Phone
(520) 387-7833
Fax
(520) 387-7885
NPI assigned
Sep 30, 2005
Last updated
Aug 27, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 859 AZ Primary

Addresses

Primary practice location

24 N Plaza St
Ajo, AZ 85321-2464

Mailing address

PO Box 726
Ajo, AZ 85321-0726
Phone (520) 387-7833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20060815000038 AZ Practitioner - Optometry 7315940293 Reassigns benefits to 1 organization
Practice locations: Ajo, AZ

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 N Plaza St
Ajo, AZ 85321-2464
Phone (520) 387-7833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Sowash OD & Associates PC Optometrist CurrentSince Aug 1, 2015 Accepting new patients
Emergency Medical & Surgical Specialists of Colorado LLC Past Accepting new patients
Visionworks, Inc Past Accepting new patients

Locations

917 N Promenade Pkwy
Ste 101
Casa Grande, AZ 85194
Phone (520) 836-8946

3111 W Chandler Blvd
Ste 1124
Chandler, AZ 85226
Phone (480) 782-9380

3431 W Frye Rd
Ste 1
Chandler, AZ 85226
Phone (480) 782-9380

4650 N US Highway 89
Ste C2
Flagstaff, AZ 86004
Phone (928) 522-8424

2156 E Williams Field Rd
Ste 104
Gilbert, AZ 85295
Phone (480) 814-2583

7700 W Arrowhead Towne Ctr
Ste 2130
Glendale, AZ 85308
Phone (623) 486-2020

14009 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 935-6118

1938 S Dobson Rd
Ste 1
Mesa, AZ 85202
Phone (480) 894-2020

4933 E Ray Rd
Ste 103
Phoenix, AZ 85044
Phone (480) 940-5388

7611 W Thomas Rd
Ste B018
Phoenix, AZ 85033
Phone (623) 873-2511

13371 W Grand Ave
Ste 102
Surprise, AZ 85374
Phone (623) 556-8038

4631 N Oracle Rd
Ste 175
Tucson, AZ 85705
Phone (520) 408-1200

5271 S Calle Santa Cruz
Ste 1
Tucson, AZ 85706

5870 E Broadway Blvd
Ste 506
Tucson, AZ 85711
Phone (520) 745-0229

175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982

Organizations & group practices 3

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219795200000",
    "number": "1376530873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 726",
            "city": "AJO",
            "state": "AZ",
            "postal_code": "853210726",
            "telephone_number": "520-387-7833",
            "fax_number": "520-387-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N PLAZA ST",
            "city": "AJO",
            "state": "AZ",
            "postal_code": "853212464",
            "telephone_number": "520-387-7833",
            "fax_number": "520-387-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAY",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2008-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ajo, AZ

Sources for this page

Verify at the official NPI Registry.