Active NPI
Jared Spencer Gray, O.D.
- Corneal and Contact Management Optometrist
- Murray, UT
National Provider Identifier
1528462678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 9076358-9934
- Practice address
- 228 E 6400 S
Murray, UT 84107-7305 - Phone
- (801) 308-8234
- NPI assigned
- Oct 17, 2014
- Last updated
- Dec 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9076358-9934 | UT | |
| Corneal and Contact Management Optometrist | 152WC0802X | 9076358-9934 | UT | Primary |
| Pediatric Optometrist | 152WP0200X | 9076358-9934 | UT | |
| Sports Vision Optometrist | 152WS0006X | 9076358-9934 | UT | |
| Occupational Vision Optometrist | 152WX0102X | 9076358-9934 | UT |
Addresses
Primary practice location
228 E 6400 S
Murray, UT 84107-7305
Mailing address
1347 E 440 N
Provo, UT 84606-5127
Phone (907) 841-5851
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9076358-9934 | UT | MD | Sports Vision Optometrist |
Organizations & group practices 1
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.
-
- Corneal and Contact Management Optometrist
- Murray, UT
- NPI 1114324670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1528462678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1347 E 440 N",
"city": "PROVO",
"state": "UT",
"postal_code": "846065127",
"telephone_number": "907-841-5851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 E 6400 S",
"city": "MURRAY",
"state": "UT",
"postal_code": "841077305",
"telephone_number": "801-308-8234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "JARED",
"middle_name": "SPENCER",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-17",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "UT",
"license": "9076358-9934",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "UT",
"license": "9076358-9934",
"primary": true
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "UT",
"license": "9076358-9934",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "UT",
"license": "9076358-9934",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "UT",
"license": "9076358-9934",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.