Individual
MICHAEL RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
110 N JACKSON ST, FRANKLIN, IN 46131-1705
(317) 346-4107
(317) 346-4108
Mailing address
110 N JACKSON ST, FRANKLIN, IN 46131-1705
(317) 346-4107
(317) 346-4108
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002113A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200059300A
—
IN
Enumeration date
06/13/2005
Last updated
01/04/2011
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