Individual provider Active NPI

Erick Alan Gray, O.D.

  • Optometrist
  • Bowie, MD
National Provider Identifier
1982773156
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0792 Issued in MD
Practice address
6800 Laurel Bowie Rd
Bowie, MD 20715-1709
Phone
(301) 464-4442
Fax
(301) 464-2554
NPI assigned
Nov 6, 2006
Last updated
Jul 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0792 MD Primary

Addresses

Primary practice location

6800 Laurel Bowie Rd
Bowie, MD 20715-1709

Mailing address

6800 Laurel Bowie Rd
Bowie, MD 20715-1709
Phone (301) 464-4442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TA0792MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Catonsville Eye Associates LLC CurrentSince Jan 1, 2023 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist PastSince Dec 31, 2022 Accepting new patients
Myeyedr Optometry of Maryland, LLC Optometrist Past Accepting new patients
NV Optometry Optometrist PastSince May 6, 2019 Accepting new patients

Locations

6600 Baltimore National Pike
Ste D
Catonsville, MD 21228
Phone (410) 788-7113

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1982773156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 LAUREL BOWIE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151709",
            "telephone_number": "301-464-4442",
            "fax_number": "301-464-2554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 LAUREL BOWIE RD",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151709",
            "telephone_number": "301-464-4442",
            "fax_number": "301-464-2554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "ERICK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.