# RICHARD J. GRAY O.D. INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326446626
- **Authorized official:** DR. RICHARD JAMES GRAY O.D. (OPTOMETRIST)
- **Authorized official phone:** (760) 948-4285

## Contact information

- **Practice address:** 11896 AMARGOSA RD, VICTORVILLE, CA 92392-8133
- **Practice address phone:** (760) 948-4285
- **Practice address fax:** (760) 948-4875
- **Mailing address:** 11896 AMARGOSA RD, VICTORVILLE, CA 92392-8133
- **Mailing address phone:** (760) 948-4285
- **Mailing address fax:** (760) 948-4875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 7422 | CA | — |
| 152WC0802X | Corneal and Contact Management Optometrist | 14255 | CA | Yes |

## Other

- **Enumeration date:** 12/18/2014
- **Last updated:** 12/18/2014