Individual
DR. J. BRIAN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
114 E OAK AVE, JONESBORO, AR 72401-3561
(870) 935-5454
(870) 935-2643
Mailing address
114 E OAK AVE, JONESBORO, AR 72401-3561
(870) 935-5454
(870) 935-2643
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2414
AR
152WC0802X
Corneal and Contact Management Optometrist
2414
AR
152WL0500X
Low Vision Rehabilitation Optometrist
2414
AR
152WP0200X
Pediatric Optometrist
2414
AR
152WS0006X
Sports Vision Optometrist
2414
AR
152WV0400X
Vision Therapy Optometrist
2414
AR
152WX0102X
Occupational Vision Optometrist
2414
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12189
SPECTERA
AR
05
—
123724722
—
AR
05
—
149197722
—
AR
01
—
207398
EYEMED
AR
01
—
42186
DAVIS VISION
AR
01
—
431961530
VISION SERVICE PLAN (VSP)
AR
01
—
4596720001
PALMETTO GBA
AR
01
—
48741
INDIVIDUAL BCBS
AR
Enumeration date
07/31/2006
Last updated
03/13/2008
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