Individual provider Active NPI

Robin Lynn Gray, O.D.

  • Optometrist
  • Pleasantville, NJ
National Provider Identifier
1851329544
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OA04027 TO00250 Issued in NJ
Practice address
921 Black Horse Pike
Pleasantville, NJ 08232-4129
Phone
(609) 641-4722
NPI assigned
Jun 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OA04027 TO00250 NJ Primary

Addresses

Primary practice location

921 Black Horse Pike
Pleasantville, NJ 08232-4129

Mailing address

108 Holly LN
Linwood, NJ 08221-2257
Phone (609) 927-6086

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20110103000832 NJ Practitioner - Optometry 9739119280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA04027 TO00250NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Pritz & Gray Eyecare Optometrist CurrentSince Sep 1, 1978 Accepting new patients
Next Generation Eye Care LLC Optometrist PastSince Mar 11, 2025 Accepting new patients

Locations

921 Black Horse Pike
Pleasantville, NJ 08232
Phone (609) 442-1192

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851329544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 HOLLY LN",
            "city": "LINWOOD",
            "state": "NJ",
            "postal_code": "082212257",
            "telephone_number": "609-927-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 BLACK HORSE PIKE",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082324129",
            "telephone_number": "609-641-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ROBIN",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "OA04027  TO00250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.