Ray, Adrienne R

Ray, Adrienne R is an sole proprietor health care provider with primary practice located at 7200 Shallowford Rd , Chattanooga TN 37421-2671. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ray, Adrienne R can be contacted via phone (423) 499-0810.

Contact Information

Primary practice address
7200 Shallowford Rd Chattanooga TN 37421-2671
Fax: (423) 805-7338
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OD0000003441 Tennessee
Eye and Vision Services Providers / Optometrist 152W00000X OPT001886 Georgia
Eye and Vision Services Providers / Optometrist 152W00000X S-956-TA-546 Alabama

Profile Details

NPI number 1366504839
LBN Legal business name Ray, Adrienne R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2006
Last updated Nov 6th, 2019 - about 7 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 1366504839 NPPES
Alabama MEDICAID 52212290

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