NPIMap

Organization Active NPI

Real Gray LLC

  • Optometrist
  • Mount Airy, MD
National Provider Identifier
1780813238
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
REAL GRAY LLC
Practice address
305 S Main St
Mount Airy, MD 21771-5397
Phone
(301) 829-4118
NPI assigned
Jul 6, 2009
Organization subpart
Yes
Parent organization
REAL GRAY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Dr. Norman Fine, ODNPI 1447222336
Title
Partner
Phone
(301) 829-4118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

305 S Main St
Mount Airy, MD 21771-5397

Mailing address

305 S Main St
Mount Airy, MD 21771-5397
Phone (301) 829-4118

National Provider Directory

National Provider Directory
Part of
Real Gray LLC

Locations

305 S Main St
Mount Airy, MD 21771
Phone (301) 829-4118

Practitioners & affiliated clinicians

Practitioners 1

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": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1780813238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 S MAIN ST",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715397",
            "telephone_number": "301-829-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S MAIN ST",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217715397",
            "telephone_number": "301-829-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL GRAY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REAL GRAY LLC",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "301-829-4118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.