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DR. JACK GREY HALL O.D.
NPI 1639228331
Optometrist in Modesto, CA

Active since January 10, 2007
3801 PELANDALE AVE, MODESTO, CA 95356(209) 543-0220(209) 543-0220 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jack Grey Hall O.d. NPPES

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

DR. JACK GREY HALL O.D. (NPI 1639228331) is an individual optometrist in Modesto, California, licensed in California (6455T) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1639228331
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JACK GREY HALLCredential: O.D.
Location Address3801 PELANDALE AVEModesto, CA 95356-8300
Mailing Address3801 Pelandale AveModesto, CA 95356-8300 · (209) 543-0220 · Fax (209) 543-0220
Phone(209) 543-0220
Fax(209) 543-0220
Sole ProprietorYes
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1639228331 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 CA · 6455T
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.
3801 PELANDALE AVE, Modesto, CA 95356
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Other Identifiers 1

Medicare UPINT10326CA

Other Providers at the Same Location NPPES 6

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

ASHLEY AVILA PHARM.D.
Pharmacist
3801 PELANDALE AVE
MODESTO, CA 95356
Stanislaus County (209) 342-4902
COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
3801 PELANDALE AVE
MODESTO, CA 95356
Stanislaus County (209) 342-4926
COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
3801 PELANDALE AVE
MODESTO, CA 95356
Stanislaus County (209) 342-4902
FRANK CARONE PHARM.D
Pharmacist
3801 PELANDALE AVE
MODESTO, CA 95356
Stanislaus County (209) 342-4902
DR. JACOB SCHNAIDT PHARM.D.
Pharmacist
3801 PELANDALE AVE
MODESTO, CA 95356
Stanislaus County (209) 342-4902
ANTHONY CHRISTIAN TAN RPH
Pharmacist
3801 PELANDALE AVE
MODESTO, CA 95356
Stanislaus County (209) 566-5214

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 Jack Hall's NPI number?

The NPI number for Jack Hall is 1639228331. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Jack Hall located?

Jack Hall practices at 3801 Pelandale Ave, Modesto, CA 95356. The listed phone number is (209) 543-0220.

What is Jack Hall's specialty?

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

When was this NPI record last updated?

The NPPES record for Jack Hall was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.