MEDICARE: DR. DOUGLAS R GRAY O.D., F.A.A.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0618002475	VA
2	152W00000X	Optometrist	18003089A	IN

General Provider Information

NPI Number	:	1851367825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS R GRAY O.D., F.A.A.O.

Provider Business Mailing Address
First Line	:	WOMACK ARMY MEDICAL CENTER
Second Line	:	2817 ROCK MERRITT AVE STOP A
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-907-8922
Fax Number	:	910-907-6069

Provider Business Practice Location Address
First Line	:	WOMACK ARMY MEDICAL CENTER
Second Line	:	2817 ROCK MERRITT AVE STOP A
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:	910-907-8922
Fax Number	:	910-907-6069

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/28/2006
Last Update Date	:	03/17/2026

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