# DR. JARED SPENCER GRAY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528462678
- **Gender:** Man
- **Credential:** O.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 9076358-9934 | UT | — |
| 152WC0802X | Corneal and Contact Management Optometrist | 9076358-9934 | UT | Yes |
| 152WP0200X | Pediatric Optometrist | 9076358-9934 | UT | — |
| 152WS0006X | Sports Vision Optometrist | 9076358-9934 | UT | — |
| 152WX0102X | Occupational Vision Optometrist | 9076358-9934 | UT | — |

## Other

- **Enumeration date:** 10/17/2014
- **Last updated:** 12/03/2014