Jack Grey Hall is a Optometrist in Modesto, California. Jack Grey Hall practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jack Grey Hall is 1639228331. The last update date is 2007-07-08.
Jack Grey Hall's current location address is 3801 Pelandale Ave, Modesto, California. You can contact this provider via phone number 2095430220 and fax number 2095430220. The mailing address for Jack Grey Hall is 3801 Pelandale Ave, Modesto, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Jack Grey Hall |
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Address | 3801 Pelandale Ave, Modesto, California |
Phone Number | 2095430220 |
Fax Number | 2095430220 |
Sole Proprietor | Y |
Credentials | O.D. |
NPI Number Detail
NPI Number | 1639228331 |
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Provider Enumeration Date | 2007-01-10 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 3801 Pelandale Ave |
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City | Modesto |
State | California (CA) |
Post Code | 953568300 |
Phone Number | 2095430220 |
Fax Number | 2095430220 |
Provider's Primary Taxonomy Detail
Speciality | Optometrist |
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Taxonomy | 152W00000X |
Licence No | 6455T |
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the Jack Grey Hall's unique identification number?
The Jack Grey Hall has been assigned the NPI (National Provider Identifier) Number 1639228331 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Jack Grey Hall's physical address?
The Jack Grey Hall is physically located at 3801 Pelandale Ave, in the city of Modesto, CA, with the postal code 953568300.
What is Jack Grey Hall's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jack Grey Hall's area of specialization is Optometrist, and the corresponding taxonomy code that categorizes this field of practice is 152W00000X.
On what date did the Jack Grey Hall receive the assignment of its 1639228331 from the Centers for Medicare & Medicaid Services?
The Jack Grey Hall was issued its 1639228331 by the Centers for Medicare & Medicaid Services on 2007-01-10.
As of what date were the details pertaining to Jack Grey Hall last refreshed?
The information related to the Jack Grey Hall, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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