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Gary G Gray, OD
Pediatric Optometrist in Decatur, Illinois
NPI 1275603672

Gary G Gray is a Pediatric Optometrist based in Decatur, IL and is specialized in Pediatrics. Gary G Gray practices in Decatur, IL and has the professional credentials of OD. The NPI Number for Gary G Gray is 1275603672 and holds a License No. (Illinois).

The current practice location address for Gary G Gray is 2490 N Water St, Decatur, IL and can be reached out via phone at 217-875-4646 and via fax at 217-875-2870.

Location: 2490 N Water St, Decatur, IL, 62526-4251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275603672
Provider Name
Gary G Gray
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
2490 N Water St, Decatur, IL, 62526-4251
Phone Number
217-875-4646
Fax Number
217-875-2870
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4056086 01 TN BCBCS
5884008 01 IL BCBS
6259G 01 IL UNITED HEALTHCARE
0159620001 01 IL DMERC ADMINISTAR
institution
Provider Business Practice Location Address Details
Address
2490 N Water St
City
Decatur
State
Illinois
Zip
62526-4251
Phone Number
217-875-4646
Fax Number
217-875-2870
person
Provider Business Mailing Address Details
Address
2490 N Water St
City
Decatur
State
Illinois
Zip
62526-4251
Phone Number
217-875-4646
Fax Number
217-875-2870
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Corneal and Contact Management
Taxonomy
152WC0802X
License No.
(Illinois)
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Pediatrics
Taxonomy
152WP0200X
License No.
(Illinois)
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
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