Grayson, Douglas K

Grayson, Douglas K is an individual health care provider with primary practice located at 485A Us Highway 1 S Building A, Iselin NJ 08830-3012. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Grayson, Douglas K can be contacted via phone (732) 750-0400.

Contact Information

Primary practice address
485A Us Highway 1 S Building A Iselin NJ 08830-3012
Fax: (732) 750-1507
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 25MA06225100 New Jersey
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 1827361 New York
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 25MA06225100 New Jersey
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 182736-1 New York

Profile Details

NPI number 1689674129
LBN Legal business name Grayson, Douglas K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2005
Last updated Apr 24th, 2017 - about 7 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 1689674129 NPPES
New Jersey Other 566609QHY MEDICARE
New Jersey MEDICAID 01486635 MEDICARE
New Jersey MEDICAID 6675808 MEDICARE

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