Stacy, David Ray

Stacy, David Ray is an sole proprietor health care provider with primary practice located at 2974 N Alma School Road #3, Chandler AZ 85224-6713. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Stacy, David Ray can be contacted via phone (480) 899-0188.

Contact Information

Primary practice address
2974 N Alma School Road #3 Chandler AZ 85224-6713
Phone: (480) 899-0188
Fax: (480) 899-0199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X AZ224 Arizona
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X AZ224 Arizona
Eye and Vision Services Providers / Occupational Vision 152WX0102X AZ224 Arizona

Profile Details

NPI number 1740289990
LBN Legal business name Stacy, David Ray
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2005
Last updated Aug 13th, 2010 - about 14 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 1740289990 NPPES
Arizona MEDICAID 035354

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