GARY G GRAY


Address: 2490 N Water St, Suite 16, Decatur, IL 62526-4251
Phone: 2178754646

GARY G GRAY (NPI# 1275603672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275603672
Entity Type Individual
Full Name GARY G GRAY
Credential O.D.
Practice Address 2490 N Water St
Suite 16
Decatur
IL 62526-4251
Practice Telephone 2178754646
Practice Fax Number 2178752870
Mailing Telephone 2178754646
Mailing Fax Number 2178752870
Enumeration Date 2006-11-09
Last Update Date 2007-11-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152WC0802X Optometrist
Specialization: Corneal and Contact Management
IL Eye and Vision Services Providers
N 152WP0200X Optometrist
Specialization: Pediatrics
IL Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
TN BCBCS 4056086 01
IL UNITED HEALTHCARE 6259G 01
IL DMERC ADMINISTAR 0159620001 01
IL BCBS 5884008 01

Other Providers GARY GRAY

NPI Name Taxonomy Address Enumeration
1922273796 Gary Brian Gray Family Medicine 5890 Valley Rd Ste 200, Birmingham, AL 35235-8669 2008-04-23
1033242151 Gary Wynn Gray Physical Therapist 1800 W Us 223, Suite 100, Adrian, MI 49221-8439 2007-03-14
1356485460 Gary M Gray Internal Medicine 300 Pasteur Dr, Rm 211, Mc 5187, Stanford University Medical Center, Stanford, CA 94305-5187 2007-02-20
1861422495 Gary Charles Gray Social Worker 1681 N Starr Dr, Fayetteville, AR 72701-2936 2006-07-03
1629028675 Gary Russel Gray Counselor 1101 Belcher Rd S, Suite E, Largo, FL 33771-3356 2006-05-11
1740590033 Gary Paul Gray Counselor 400 Stoddard Rd, Richmond, MI 48062-2505 2010-10-20
1518085281 Gary J Gray Preventive Medicine 6726 Manchester Ave, Saint Louis, MO 63139-3525 2007-03-27
1780709014 Gary A. Gray Counselor 1212 N California St, Stockton, CA 95202-1552 2007-03-19
1679688899 Gary Richard Gray Family Medicine 1441 Constitution Blvd, Bldg. 200, Suite 102, Salinas, CA 93906-3100 2006-08-20
1073555009 Gary R. Gray Radiology 1516 Cotner Ave, Los Angeles, CA 90025-3303 2006-06-12

Office Location

Street Address 2490 N WATER ST
SUITE 16
City DECATUR
State IL
Zip Code 62526-4251

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568491959 Karen Elena Lee Psychologist 2490 N Water St, Suite 9, Decatur, IL 62526-4251 2006-06-30
1710321229 Center for Neurobehavioral Disorders, LLC Clinical Neuropsychologist 2490 N Water St, Suite 9, Decatur, IL 62526-4251 2013-04-26
1265677421 Thomas Kelly Stewart Social Worker 2490 N Water St, Suite One, Decatur, IL 62526-4251 2008-12-02
1245429489 John Richard Herington Social Worker 2490 N Water St, Suite 1, Decatur, IL 62526-4251 2007-10-23
1295825602 Jerry R Harrison Dentist 2490 N Water St, Suite 11, Decatur, IL 62526-4251 2006-10-14
1598869588 John Herington, PC Social Worker 2490 N Water St, Suite 1, Decatur, IL 62526-4251 2006-09-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1083100804 Coalition Non-emergency Medical Transport (VAN) 2375 N Longwood Dr, Decatur, IL 62526 2018-07-04
1881116820 Bria N Howard Nurse's Aide 606 E Warren St. Apt 609, Decatur, IL 62526 2017-07-12
1437683679 Lutheran Child and Family Services Foster Care Agency 2826 N. Monroe Street, Decatur, IL 62526 2017-04-14
1083166326 Whitney Miller Pharmacist 225 East Ash Ave, Decatur, IL 62526 2016-11-03
1487053369 Central Illinois Health Associates, Inc Preferred Provider Organization 2300 N. Edward Street, Decatur, IL 62526 2014-08-18
1659787893 Stephanie Marie Kanitsch Obstetrics & Gynecology 544 W Pershing Rd Ste A, Decatur, IL 62526 2014-07-09
1497169973 Brian Hassinger Audiologist-Hearing Aid Fitter 2605 N Water St Ste 101, Decatur, IL 62526 2014-06-12
1891041570 Decatur 2016 LLC Dentist 141 Epershing Rd, Decatur, IL 62526 2012-07-31
1558639005 Larry Lee Christensen Pharmacist 225 Ash Ave, Decatur, IL 62526 2011-12-12
1174821540 Nathan Pyle Internal Medicine 2 Memorial Dr Ste 101, Decatur, IL 62526 2011-03-08
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Taxonomy Information

Taxonomy Code 152WC0802X
Grouping Eye and Vision Services Providers
Classification Optometrist
Specialization Corneal and Contact Management

Taxonomy Definition

The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Notes: Source: American Optometric Association [1/1/2009: added definition, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609831338 Grigoriy Solomon Optometrist 1781 Clairmont Rd, Decatur, GA 30033-4072 2006-04-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1912516659 Northwestern Medical Faculty Foundation Optometrist 2701 Patriot Blvd Fl 2, Glenview, IL 60026-8039 2020-07-29
1225697675 Park Ridge Vision LLC Optometrist 350 S Northwest Hwy Ste 104, Park Ridge, IL 60068-4262 2019-06-10
1679131213 Union Eyes, LLC Optometrist 15900 W 127th St Ste 221, Lemont, IL 60439-2914 2019-05-29
1508394933 Awad Eyecare Sc Optometrist 1845 S Michigan Ave Unit 1803, Chicago, IL 60616 2017-05-30
1588063572 Northwestern Medical Faculty Foundation Optometrist 259 E. Erie Street, Suite#02-220, Chicago, IL 60611-2661 2014-08-15
1962734129 Boyce Family Eye Care, Ltd. Optometrist 528 Devon Ave, Park Ridge, IL 60068-4820 2010-02-12
1558546713 Halsted Eye Boutique, Inc. Optometrist 2852 N Halsted St, Chicago, IL 60657-6531 2008-01-07
1114119609 Kapoor Vision Consultants, Ltd Optometrist 1221 W Talon Ct, Palatine, IL 60067-1848 2007-08-17
1649475328 Paul C Jacobs Trevor Crabtree Ptr Optometrist 223 N Park Ave, Herrin, IL 62948-3149 2007-06-20
1356559595 Concept Eye Care, Ltd. Optometrist 1605 E 55th St, 1st Flr, Chicago, IL 60615-5803 2007-05-20
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Competitor

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City DECATUR
Zip Code 62526

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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