Robert F Gray, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

113649-9934 Issued in UT

Practice address

785 E 200 S
Lehi, UT 84043-2291

Phone

(801) 768-4100

Fax

(801) 768-0600

NPI assigned

Feb 2, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in UT

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

State licenses

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 and National Provider Directory roles.

• Robert F Gray PC

  • Optometrist
  • Lehi, UT
  • NPI 1730409962
  Medicare reassignment NPD Authorized official
• Eyecare of Lehi, LLC

  • Optometrist
  • Lehi, UT
  • NPI 1194577510
  NPD (past)

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790757904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9623 W 8170 N",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840433141",
            "telephone_number": "801-768-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "785 E 200 S",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840432291",
            "telephone_number": "801-768-4100",
            "fax_number": "801-768-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ROBERT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "113649-9934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC SUPPLIER NUMBER",
            "identifier": "0550680001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Diane Granja, CNM
• Misty Grant, PHD, CMHC
• Richard Michael Grant, D.C.
• Collin Robert Gray, OD
• Nathan Gray
• Brandon C. Green, MD
• Greencrest LLC
• Rebecca Greenhalgh
• Mia Marianne Greer
• Addison Griffin

• Optometrist in Lehi, UT
• Providers in Lehi, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.