Wray, Misty Lee
Wray, Misty Lee is an sole proprietor health care provider with primary practice located at 17001 Science Dr Ste 120 , Bowie MD 20715-4330. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Wray, Misty Lee can be contacted via phone (301) 860-1090.Contact Information
Primary practice address
17001 Science Dr Ste 120
Bowie MD 20715-4330
Phone: (301) 860-1090
Fax: (301) 860-1095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 0101247113 | Virginia |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D0040969 | Maryland |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 33212 | West Virginia |
Profile Details
| NPI number | 1285640441 |
|---|---|
| LBN Legal business name | Wray, Misty Lee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2006 |
| Last updated | Oct 3rd, 2025 - about last year |
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 | 1285640441 | NPPES |
| Maryland | MEDICAID | 912500100 |
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