Keith Gray is a Optometrist in Memphis, Tennessee. Keith Gray practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Keith Gray is 1063465391. The last update date is 2007-07-08.
Keith Gray's current location address is 1299 Southland Mall, Memphis, Tennessee. You can contact this provider via phone number 9013963742 and fax number 9013969744. The mailing address for Keith Gray is 1299 Southland Mall, Memphis, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Gray |
|---|---|
| Address | 1299 Southland Mall, Memphis, Tennessee |
| Phone Number | 9013963742 |
| Fax Number | 9013969744 |
| Sole Proprietor | X |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1063465391 |
|---|---|
| Provider Enumeration Date | 2006-05-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1299 Southland Mall |
|---|---|
| City | Memphis |
| State | Tennessee (TN) |
| Post Code | 381167807 |
| Phone Number | 9013963742 |
| Fax Number | 9013969744 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 1153DT |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4118471 | TN | BCBS | |
| 21873 | TN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Keith Gray by the Centers for Medicare & Medicaid Services?
The Keith Gray has been assigned the NPI (National Provider Identifier) 1063465391. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Keith Gray is geographically located?
The Keith Gray is physically situated at the following location: 1299 Southland Mall, Memphis, TN, 381167807.
What is Keith Gray's area of expertise and its corresponding taxonomy classification?
The Keith Gray's field of specialization is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1063465391 assigned to Keith Gray?
The Keith Gray was issued its 1063465391 on 2006-05-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Keith Gray, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Keith Gray, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.