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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609813666 | NPPES |
| North Carolina | Other | 0917G | BCBSNC INDIVIDUAL NUMBER |
| North Carolina | MEDICAID | 890917G | BCBSNC INDIVIDUAL NUMBER |
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