Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jack Grey Hall, OD

Individual provider Optometrist · NPI 1639228331

Dr. Jack Grey Hall, OD is an Optometrist in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3801 Pelandale Ave
Modesto, CA 95356-8300
Phone: (209) 543-0220
Fax: (209) 543-0220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 6455T (CA)

Record details

NPI number1639228331
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedJanuary 10, 2007
Last updated in NPPESJuly 8, 2007
Mailing address3801 Pelandale Ave, Modesto, CA 95356-8300

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