RALEY NICOLE GRAY OD
NPI 1023907060
Optometrist in Fort Worth, TX

Active since July 02, 2025PECOS EnrolledAccepts Medicare Assignment
3451 WESTERN CENTER BLVD, FORT WORTH, TX 76137(817) 382-3012 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Raley Nicole Gray Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RALEY NICOLE GRAY OD (NPI 1023907060) is an individual optometrist in Fort Worth, Texas, licensed in Texas (11467) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of University Of Houston - College Of Optometry (2025).

NPPES Registry Identity

NPI1023907060
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameRALEY NICOLE GRAYCredential: OD
Location Address3451 WESTERN CENTER BLVDFort Worth, TX 76137-3101
Mailing Address15641 Vacca WayFort Worth, TX 76177-1429 · (817) 368-9383
Sole ProprietorNo
Medical School CMSUniversity Of Houston - College Of OptometryGraduated 2025
Enumeration DateJuly 2, 2025
NPPES CertifiedJuly 2, 2025
✔ NPI 1023907060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 11467
Definition
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 identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3451 WESTERN CENTER BLVD, Fort Worth, TX 76137

Other Names 1

Former Name (1)Raley Nicole Russell

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raley Nicole Gray Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143722660
PECOS Enrollment IDI20250904003759
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76137 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$129.63 typical visit price
range $56.47 – $171.07
Typical copayment $32.40 (range $14.11 – $42.76)
Most-billed visit code 99204
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
3451 WESTERN CENTER BLVD
FORT WORTH, TX 76137
Optometrist
3451 WESTERN CENTER BLVD
FORT WORTH, TX 76137
Optometrist
3451 WESTERN CENTER BLVD
FORT WORTH, TX 76137
Optometrist
3451 WESTERN CENTER BLVD
FORT WORTH, TX 76137
Optometrist
3451 WESTERN CENTER BLVD
FORT WORTH, TX 76137

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raley Gray's NPI number?

The NPI number for Raley Gray is 1023907060. It was assigned to this individual provider in the NPPES registry on July 2, 2025. The provider is also known as Raley Nicole Russell.

Where is Raley Gray located?

Raley Gray practices at 3451 Western Center Blvd, Fort Worth, TX 76137. The listed phone number is (817) 382-3012.

What is Raley Gray's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Raley Gray enrolled in Medicare?

Yes. Raley Gray is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raley Gray accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Raley Gray as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Raley Gray was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.