Provider Demographics
NPI:1770597189
Name:GREY, ALLEN M (MD)
Entity type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:M
Last Name:GREY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 WELLINGTON AVE
Mailing Address - Street 2:STE 107
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501
Mailing Address - Country:US
Mailing Address - Phone:970-242-8812
Mailing Address - Fax:970-242-8898
Practice Address - Street 1:1120 WELLINGTON AVE
Practice Address - Street 2:GREY EYE CARE PC STE 107
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501
Practice Address - Country:US
Practice Address - Phone:970-242-8812
Practice Address - Fax:970-242-8898
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2011-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO35516207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01355163Medicaid
CO01355163Medicaid
COC809302Medicare PIN
CO6022700001Medicare NSC