Provider Demographics
NPI:1457338170
Name:MURRAY, JAMES DALE (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DALE
Last Name:MURRAY
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:4002 SAINT ANDREWS DR SE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87124-2143
Mailing Address - Country:US
Mailing Address - Phone:505-850-2920
Mailing Address - Fax:505-892-0575
Practice Address - Street 1:801 VASSAR DR NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2725
Practice Address - Country:US
Practice Address - Phone:505-248-4003
Practice Address - Fax:505-248-7721
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-22
Last Update Date:2011-09-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM287152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
U87407Medicare UPIN