Gray, Harry Edward

Gray, Harry Edward is an sole proprietor health care provider with primary practice located at 5100 Great Northern Mall Jc Penney Optical, North Olmsted OH 44070-3305. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gray, Harry Edward can be contacted via phone (440) 779-8145.

Contact Information

Primary practice address
5100 Great Northern Mall Jc Penney Optical North Olmsted OH 44070-3305
Fax: (440) 779-9118
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5212 Ohio

Profile Details

NPI number 1033257019
LBN Legal business name Gray, Harry Edward
Credentials O.D., PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 2nd, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033257019 NPPES
Ohio MEDICAID 2274462

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