Individual
DR. JOHN S RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1210 DRIVING PARK AVE, NEWARK, NY 14513-1057
(585) 394-2020
(585) 394-9261
Mailing address
1210 DRIVING PARK AVE, NEWARK, NY 14513-1057
(315) 331-8921
(315) 331-8231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NYTW006745
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02649705
—
NY
Enumeration date
01/11/2007
Last updated
09/30/2020
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