Andrea V Gray Md Pc in Roseburg - Eyewear Supplier
Andrea V Gray Md Pc - NPI 1689855967
Andrea V Gray Md Pc is a Eyewear Supplier in Roseburg, Oregon. Andrea V Gray Md Pc practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Andrea V Gray Md Pc is 1689855967. The last update date is 2007-11-15.
Andrea V Gray Md Pc's current location address is 2569 Nw Edenbower Blvd, Roseburg, Oregon. You can contact this provider via phone number 5419575400 and fax number 5414401010. The mailing address for Andrea V Gray Md Pc is 2569 Nw Edenbower Blvd, Roseburg, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Andrea V Gray Md Pc |
|---|---|
| Address | 2569 Nw Edenbower Blvd, Roseburg, Oregon |
| Phone Number | 5419575400 |
| Fax Number | 5414401010 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Gray V Andrea |
| Credentials | MD |
| Telephone Number | 5419575400 |
NPI Number Detail
| NPI Number | 1689855967 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2007-11-15 |
Provider Mailing Address Detail
| Address | 2569 Nw Edenbower Blvd |
|---|---|
| City | Roseburg |
| State | Oregon (OR) |
| Post Code | 97470 |
| Phone Number | 5419575400 |
| Fax Number | 5414401010 |
Provider's Primary Taxonomy Detail
| Speciality | Eyewear Supplier |
|---|---|
| Taxonomy | 332H00000X |
|
Definition: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4373040001 | OR | DMERC |
Post Comment/ Review Below
What is the unique identifier code issued to Andrea V Gray Md Pc by the Centers for Medicare & Medicaid Services?
The Andrea V Gray Md Pc has been assigned the NPI (National Provider Identifier) 1689855967. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Andrea V Gray Md Pc's facilities are geographically located?
The facilities of Andrea V Gray Md Pc are physically situated at the following location: 2569 Nw Edenbower Blvd, Roseburg, OR, 97470.
What is the Andrea V Gray Md Pc's specialty and taxonomy code?
The Andrea V Gray Md Pc's specialty is Eyewear Supplier, and the corresponding taxonomy code is 332H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689855967 to Andrea V Gray Md Pc?
The Centers for Medicare & Medicaid Services originally issued the 1689855967 to Andrea V Gray Md Pc on 2007-11-15.
As of what date was the information regarding Andrea V Gray Md Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Andrea V Gray Md Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-15.