P Praxis·MD
● Active Type 1 · Individual

DR. Russell Lamar Gray, OD

Optometrist·Meridian, ID· NPI 1023678778 · Enumerated 2019 · 6 years on NPI
Gray is 1 of 32 optometrist providers in Meridian and 1 of 598 in Idaho.
NPI age
6 years
Enumerated 2019-06-15
Primary specialty
Optometrist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2026-03-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 598 active optometrist providers in Idaho.

NPI age
6 years
↓ 12 yr below median (18 yr)
State licenses
1 state
11% of peers hold multiple states
Subspecialties
0
17% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-06Enumerated in NPPES
2019 2026

Where they practice

Practice location
129 W Galvani Dr Ste 100
Meridian, ID 836428008
📞 2082542183fax 2082813697
Mailing address
129 W Galvani Dr Ste 100
Meridian, ID 836428008
📞 2082542183fax 2082542183

Specialties

  • Optometrist Primary
    Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as...
    ID license #ODP-100476 taxonomy 152W00000X

Identifiers

TypeValueNotes
01 (ID) ODP-100476 STATE LICENSE

Practice context

Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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