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
Phone: (440) 779-8145
Fax: (440) 779-9118
Website:
Health care specialties
Specialty | Code | License # | 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 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1033257019 | NPPES |
Ohio | MEDICAID | 2274462 |
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