Michael Ray, O.D.
Optometrist in Phoenix, AZ. Individual provider (NPI-1).
NPI number1851606321
StatusActive
Last updated in NPPESAug 9, 2010
Details
- NPI
- 1851606321
- Entity type
- Individual (NPI-1)
- Name
- Michael Ray
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2010
- Last updated
- Aug 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1772 | AZ | Yes |
Practice location
4760 E Thunderbird RdSuite 102
Phoenix, AZ 85032-5589
Phone 602-569-8777 · Fax 602-569-8782
Mailing address
4760 E Thunderbird RdSuite 102
Phoenix, AZ 85032-5589
Phone 602-569-8777 · Fax 602-569-8782
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