Gray, Angela B

Gray, Angela B is an individual health care provider with primary practice located at 300 Campen Rd Suite A, Beaufort NC 28516-1597. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gray, Angela B can be contacted via phone (252) 838-8822.

Contact Information

Primary practice address
300 Campen Rd Suite A Beaufort NC 28516-1597
Phone: (252) 838-8822
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1577 North Carolina

Profile Details

NPI number 1609813666
LBN Legal business name Gray, Angela B
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Dec 3rd, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609813666 NPPES
North Carolina Other 0917G BCBSNC INDIVIDUAL NUMBER
North Carolina MEDICAID 890917G BCBSNC INDIVIDUAL NUMBER

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