Active NPI
Michael Jay Gray, OD
- Optometrist
- Dubois, PA
National Provider Identifier
1790792695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OEG001227
- Practice address
- 898 Beaver Dr
Dubois, PA 15801 - Phone
- (814) 371-3980
- Fax
- (814) 371-8317
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- 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 | OEG001227 | PA | Primary |
Addresses
Primary practice location
898 Beaver Dr
Dubois, PA 15801
Mailing address
898 Beaver Dr
Dubois, PA 15801
Phone (814) 371-3980
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- 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
- Pennsylvania College of Optometry, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
898 Beaver Dr
Du Bois, PA 15801-2512
Phone (814) 371-3980
Merit-based Incentive Payment System (MIPS)
- Final score
- 30 of 100
- Quality
- 60
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 43 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Obryon Eye Associates LLC | Optometrist | Current | Accepting new patients |
Locations
898 Beaver Dr
Dubois, PA 15801
Phone (814) 371-3980
5 N 3rd St
Ste 2
Reynoldsville, PA 15851
Phone (814) 371-3980
Organizations & group practices 1
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.
-
- Optometrist
- Du Bois, PA
- NPI 1538277538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790792695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "898 BEAVER DR",
"city": "DUBOIS",
"state": "PA",
"postal_code": "15801",
"telephone_number": "814-371-3980",
"fax_number": "814-371-8317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "898 BEAVER DR",
"city": "DUBOIS",
"state": "PA",
"postal_code": "15801",
"telephone_number": "814-371-3980",
"fax_number": "814-371-8317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAY",
"first_name": "MICHAEL",
"middle_name": "JAY",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG001227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dubois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.