Individual
DR. WILLS VANRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
325 LAKE DILLON DRIVE, SUITE 104, DILLON, CO 80435-2804
(970) 468-0389
(970) 468-4790
Mailing address
PO BOX 2804, DILLON, CO 80435-2804
(970) 468-0389
(970) 468-4790
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2708
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149736
—
AZ
05
—
31528546
—
CO
05
—
83357033
—
NM
Enumeration date
10/24/2006
Last updated
03/05/2021
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