Active NPI
Erick Alan Gray, O.D.
- Optometrist
- Bowie, MD
National Provider Identifier
1982773156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA0792
- 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, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| TA0792 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catonsville Eye Associates LLC | Current | Accepting new patients | |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Past | Accepting new patients |
| Myeyedr Optometry of Maryland, LLC | Optometrist | Past | Accepting new patients |
| NV Optometry | Optometrist | Past | 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.
-
dba peepers family eye care
- Eyewear Supplier
- Catonsville, MD
- NPI 1700135761
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.