Dr. Charles R. Pruden Jr. Od

LBN: Dr. Charles R. Pruden Jr. Od
Dr. Charles R. Pruden Jr. Od is an health care organization with primary practice located at 211 Vance St E , Wilson NC 27893-4117. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Dr. Charles R. Pruden Jr. Od can be contacted via phone (252) 237-9191, or through Pruden, Charles Roy via phone (252) 237-9191.

Contact Information

Primary practice address
211 Vance St E Wilson NC 27893-4117
Phone: (252) 237-9191
Fax: (252) 237-3918
Website:
Map and Directions
Authorized official contact:
Name: Pruden, Charles Roy Doctor of Optometry (OD)
Phone: (252) 237-9191

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 746 North Carolina

Profile Details

NPI number 1669749388
LBN Legal business name Dr. Charles R. Pruden Jr. Od
DBA Doing business as
Authorized official Pruden, Charles Roy Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2011
Last updated Nov 28th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669749388 NPPES
North Carolina Other 1245232826 INDIVIDUAL NPI
North Carolina MEDICAID 8909730 INDIVIDUAL NPI

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