Provider Demographics
NPI:1427208339
Name:RAY, JARREN BILL (OD)
Entity type:Individual
Prefix:DR
First Name:JARREN
Middle Name:BILL
Last Name:RAY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3702 34TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-2836
Mailing Address - Country:US
Mailing Address - Phone:806-473-9198
Mailing Address - Fax:
Practice Address - Street 1:5602 SLIDE RD
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79414-4105
Practice Address - Country:US
Practice Address - Phone:806-784-0409
Practice Address - Fax:806-784-0415
Is Sole Proprietor?:No
Enumeration Date:2008-09-27
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7292TG152W00000X
NM594152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist