Provider Demographics
NPI:1518087857
Name:RAY & ASSOCIATES
Entity Type:Organization
Organization Name:RAY & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:R
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-201-7226
Mailing Address - Street 1:3447 MCGEHEE RD STE F
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36111-3333
Mailing Address - Country:US
Mailing Address - Phone:334-613-6614
Mailing Address - Fax:334-613-6616
Practice Address - Street 1:3447 MCGEHEE RD
Practice Address - Street 2:SUITE F
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36111-3368
Practice Address - Country:US
Practice Address - Phone:334-613-6614
Practice Address - Fax:334-613-6616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-956-TA-546152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL52212290Medicaid
ALU86720Medicare UPIN