Active NPI
Angela B Gray, OD
- Optometrist
- Beaufort, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1577
- Practice address
- 300 Campen Rd
Suite a
Beaufort, NC 28516-1597 - Phone
- (252) 838-8822
- NPI assigned
- May 31, 2006
- Last updated
- Dec 3, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1577 | NC | Primary |
Addresses
Primary practice location
300 Campen Rd
Suite a
Beaufort, NC 28516-1597
Mailing address
300 Campen Rd
Beaufort, NC 28516-1597
Phone (252) 838-8822
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890917G | Medicaid | NC | |
| 0917G | Other | NC | BCBSNC INDIVIDUAL NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University Alabama Birmingham - School of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Campen Rd
Suite a
Beaufort, NC 28516-1500
Phone (252) 838-8822
4252 Arendell St
Suite G
Morehead City, NC 28557-0015
Phone (252) 838-8822
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 61 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1577 | NC | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Optometric Services | Optometrist | Current | Accepting new patients |
| Insight Optometric Services P a | Optometrist | Current | Accepting new patients |
Locations
300 Campen Rd
Ste A
Beaufort, NC 28516
Phone (252) 838-8822
4252 Arendell St
Ste G
Morehead City, NC 28557
Phone (252) 222-3090
Organizations & group practices 2
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
- Beaufort, NC
- NPI 1831386531
-
- Optometrist
- Morehead City, NC
- NPI 1386300127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480723200000",
"number": "1609813666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 CAMPEN RD",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285161597",
"telephone_number": "252-838-8822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 CAMPEN RD",
"address_2": "SUITE A",
"city": "BEAUFORT",
"state": "NC",
"postal_code": "285161597",
"telephone_number": "252-838-8822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "ANGELA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-31",
"last_updated": "2016-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NC",
"license": "1577",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890917G",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSNC INDIVIDUAL NUMBER",
"identifier": "0917G",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beaufort, NC
- Graham & Randles Chiropractic Corp
- Graham Chiropractic & Disc Treatment Center, PA
- Graham Chiropractic Center
- Christopher L Graham
- Graham's Senior Living Homes Inc
- Richard H. Grossheim, RPH
- Nancy Hope Gurganus I, ANP
- Shannon Tracy Guthrie, RD, LDN
- Mildred Harris, ADMINISTRATOR
- Larran E Hess, MS, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.