Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEITH GRAY OD
NPI 1063465391
Optometrist in Memphis, TN

Q: What is Keith Gray's NPI number?

The NPI number for Keith Gray is 1063465391. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Q: What is Keith Gray's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Keith Gray was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.

Active since May 18, 2006PECOS Enrolled

1299 SOUTHLAND MALL, MEMPHIS, TN 38116(901) 396-3742(901) 396-9744 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Keith Gray Od NPPES

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

KEITH GRAY OD (NPI 1063465391) is an individual optometrist in Memphis, Tennessee, licensed in Tennessee (1153DT) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063465391

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameKEITH GRAYCredential: OD

Location Address1299 SOUTHLAND MALLMemphis, TN 38116-7807

Mailing Address1299 Southland MallMemphis, TN 38116-7807 · (901) 396-3742 · Fax (901) 396-9744

Phone(901) 396-3742

Fax(901) 396-9744

Sole ProprietorNo

Enumeration DateMay 18, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1063465391 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 TN · 1153DT

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.

1299 SOUTHLAND MALL, Memphis, TN 38116

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Other Identifiers 2

Other4118471TN · Bcbs

Medicaid21873TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Gray Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 38116 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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 Keith Gray's NPI number?

The NPI number for Keith Gray is 1063465391. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Keith Gray located?

Keith Gray practices at 1299 Southland Mall, Memphis, TN 38116. The listed phone number is (901) 396-3742.

What is Keith Gray's specialty?

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

Is Keith Gray enrolled in Medicare?

Yes. Keith Gray is registered in the Medicare PECOS enrollment system.

What insurance does Keith Gray accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 3 other insurers list Keith 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 Keith Gray was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.