Organization Active NPI

Robert F Gray PC

Doing business as Eyecare of Lehi

  • Optometrist
  • Lehi, UT
National Provider Identifier
1730409962
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
113649-9934 Issued in UT
Legal business name
ROBERT F GRAY PC
Doing business as
Eyecare of Lehi
Practice address
785 E 200 S Ste 9
Lehi, UT 84043-2291
Phone
(801) 768-4100
Fax
(801) 768-0600
NPI assigned
Jun 10, 2010
Last updated
Jun 15, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Authorized official

Name
Robert F Gray, ODNPI 1790757904
Title
President
Phone
(801) 768-4100

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 113649-9934 UT Primary

Addresses

Primary practice location

785 E 200 S Ste 9
Lehi, UT 84043-2291

Mailing address

785 E 200 S Ste 9
Lehi, UT 84043-2291
Phone (801) 768-4100

Other identifiers 1

IdentifierTypeStateIssuer
529021849020MedicaidUT

Other names 1

  • Eyecare of Lehi Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100618000467 UT Part B Supplier - Clinic/Group Practice 2264562172 Receives reassigned benefits from 2 practitioners
Practice locations: Lehi, UT

National Provider Directory

National Provider Directory

Locations

785 E 200 S
Ste 9
Lehi, UT 84043
Phone (801) 768-4100

75 W State St
Ste A
Lehi, UT 84043
Phone (801) 768-4100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276560000000",
    "number": "1730409962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 E 200 S STE 9",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432291",
            "telephone_number": "801-768-4100",
            "fax_number": "801-768-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 E 200 S STE 9",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432291",
            "telephone_number": "801-768-4100",
            "fax_number": "801-768-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F GRAY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-06-15",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-768-4100",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "UT",
            "license": "113649-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529021849020",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyecare of Lehi",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lehi, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.