Individual
DR. JARED SPENCER GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
228 E 6400 S, MURRAY, UT 84107-7305
(801) 308-8234
Mailing address
1347 E 440 N, PROVO, UT 84606-5127
(907) 841-5851
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
9076358-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
Primary
9076358-9934
UT
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
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