Individual
DR. ADRIENNE R RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD0000003441
TN
152W00000X
Optometrist
OPT001886
GA
152W00000X
Optometrist
Primary
S-956-TA-546
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52212290
—
AL
Enumeration date
12/14/2006
Last updated
11/06/2019
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