Gray, J. Brian
Gray, J. Brian is an individual health care provider with primary practice located at 114 E Oak Ave , Jonesboro AR 72401-3561. He recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Gray, J. Brian can be contacted via phone (870) 935-5454.Contact Information
Primary practice address
114 E Oak Ave
Jonesboro AR 72401-3561
Phone: (870) 935-5454
Fax: (870) 935-2643
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2414 | Arkansas |
Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 2414 | Arkansas |
Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 2414 | Arkansas |
Eye and Vision Services Providers / Pediatrics | 152WP0200X | 2414 | Arkansas |
Eye and Vision Services Providers / Sports Vision | 152WS0006X | 2414 | Arkansas |
Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 2414 | Arkansas |
Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 2414 | Arkansas |
Profile Details
NPI number | 1750397675 |
---|---|
LBN Legal business name | Gray, J. Brian |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2006 |
Last updated | Mar 13th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750397675 | NPPES |
Arkansas | Other | 48741 | INDIVIDUAL BCBS |
Arkansas | MEDICAID | 149197722 | INDIVIDUAL BCBS |
Arkansas | Other | 42186 | INDIVIDUAL BCBS |
Arkansas | Other | 431961530 | INDIVIDUAL BCBS |
Arkansas | Other | 431961530 | INDIVIDUAL BCBS |
Arkansas | MEDICAID | 123724722 | INDIVIDUAL BCBS |
Arkansas | Other | 431961530 | INDIVIDUAL BCBS |
Arkansas | Other | 12189 | INDIVIDUAL BCBS |
Arkansas | Other | 207398 | INDIVIDUAL BCBS |
Arkansas | Other | 4596720001 | INDIVIDUAL BCBS |
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