Provider Demographics
NPI:1407689060
Name:RAY, JAMES II (RDO)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:RAY
Suffix:II
Gender:M
Credentials:RDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 LEIGH RD
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-4009
Mailing Address - Country:US
Mailing Address - Phone:401-305-8355
Mailing Address - Fax:
Practice Address - Street 1:180 LEIGH RD
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-4009
Practice Address - Country:US
Practice Address - Phone:401-305-8355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5657156FX1800X
RI403156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician