Individual
DR. JASON P. GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1011 W 2ND ST, BLOOMINGTON, IN 47403-2216
(812) 334-1213
(812) 333-5039
Mailing address
1011 W 2ND ST, BLOOMINGTON, IN 47403-2216
(812) 334-1213
(812) 333-5039
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003457A
IN
Other
Enumeration date
07/06/2007
Last updated
06/06/2012
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