Provider Demographics
NPI:1851184543
Name:MURRAY, MICAH D
Entity type:Individual
Prefix:MS
First Name:MICAH
Middle Name:D
Last Name:MURRAY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2405 HARDROCK CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75056-5607
Mailing Address - Country:US
Mailing Address - Phone:972-352-0900
Mailing Address - Fax:
Practice Address - Street 1:425 COIT RD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-5709
Practice Address - Country:US
Practice Address - Phone:972-599-9296
Practice Address - Fax:972-599-9305
Is Sole Proprietor?:No
Enumeration Date:2025-05-26
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX254173156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician