Jaclyn May Wray, OD | |
2080 Main St, Longmont, CO 80501-1916 | |
(303) 651-2020 | |
Not Available |
Full Name | Jaclyn May Wray |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 12 Years |
Location | 2080 Main St, Longmont, Colorado |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194089060 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2918 (Colorado) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Optometric Associates Pc | 0345131033 | 5 |
Provider Name | Optometric Associates Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1730299116 PECOS PAC ID: 0345131033 Enrollment ID: O20040323000217 |
Provider Name | Altitude Optometry, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114154804 PECOS PAC ID: 9234317298 Enrollment ID: O20110622000745 |
Mailing Address | Practice Location Address |
---|---|
Jaclyn May Wray, OD 2832 Sage Creek Rd, Fort Collins, CO 80528-3105 Ph: (510) 292-8101 | Jaclyn May Wray, OD 2080 Main St, Longmont, CO 80501-1916 Ph: (303) 651-2020 |
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