Jacob Michael Bray, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10895T Issued in TX

Practice address

1821 Judson Rd
Longview, TX 75605-4710

Phone

(903) 758-8832

Fax

(903) 238-8876

NPI assigned

Jul 25, 2023

Last updated

Jul 25, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Ward Eye Associates PC

  • Optometrist
  • Marshall, TX
  • NPI 1184208134
  Medicare reassignment NPD

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1730860651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054710",
            "telephone_number": "903-758-8832",
            "fax_number": "903-238-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054710",
            "telephone_number": "903-758-8832",
            "fax_number": "903-238-8876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Cottage Rd",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "TX",
            "postal_code": "756331507",
            "country_code": "US",
            "telephone_number": "903-693-7745",
            "fax_number": "903-693-8971",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2306 E End Blvd S",
            "address_purpose": "LOCATION",
            "city": "Marshall",
            "state": "TX",
            "postal_code": "756727469",
            "country_code": "US",
            "telephone_number": "903-938-2555",
            "fax_number": "903-938-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAY",
        "first_name": "JACOB",
        "middle_name": "MICHAEL",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10895T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Brady, D.C.
• Roy Brady, LCSW
• Brannon's Friends LLC
• Stacy Nicole Bratcher, FNP-C
• Ju'Lea Bravo-Geche, RBT
• Lynn M Brazell, MD
• Devin F Brecheen, PA
• Brenda Copeland DDS PA
• Bright Counseling PLLC
• Bright Eyes Cataract and Laser PLLC

• Optometrist in Longview, TX
• Providers in Longview, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.