Daniel Bray, O.D.
Individual provider Active NPI Optometrist · Ajo, AZ
NPI 1376530873 · NPPES record last updated Aug 27, 2008
Key facts
- NPI
- 1376530873
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 859 (AZ)
- Practice address
- 24 N Plaza St
Ajo, AZ 85321-2464 - Phone
- (520) 387-7833
- Fax
- (520) 387-7885
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060815000038 | AZ | Practitioner - Optometry | 7315940293 |
Reassigns benefits to 1 organization Practice locations: Ajo, AZ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 859 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tom Sowash OD & Associates PC | Optometrist | Current |
Accepting new patients |
| Visionworks, Inc | Past | Accepting new patients | |
| Emergency Medical & Surgical Specialists of Colorado LLC | Past | Accepting new patients |
Locations
917 N Promenade Pkwy
Ste 101
Casa Grande, AZ 85194
Phone (520) 836-8946
3431 W Frye Rd
Ste 1
Chandler, AZ 85226
Phone (480) 782-9380
3111 W Chandler Blvd
Ste 1124
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
5870 E Broadway Blvd
Ste 506
Tucson, AZ 85711
Phone (520) 745-0229
4631 N Oracle Rd
Ste 175
Tucson, AZ 85705
Phone (520) 408-1200
5271 S Calle Santa Cruz
Ste 1
Tucson, AZ 85706
175 E Houston St
San Antonio, TX 78205
Phone (210) 524-6982
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 859 | AZ | Yes |
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
Other providers in Ajo, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.