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Organization

LAYTON OPTICAL COMPANY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JAMES LAYTON JR. (OWNER)
(361) 883-2216
Entity
Organization

Contact information

Practice address
2617 MORGAN AVE, CORPUS CHRISTI, TX 78405-1808
(361) 883-2216
Mailing address
2617 MORGAN AVE, CORPUS CHRISTI, TX 78405-1808
(361) 883-2216

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
TX
332BC3200X
Customized Equipment (DME)
TX
332H00000X
Eyewear Supplier
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
086182501
TX
01
500634
BCBS
TX
Enumeration date
04/24/2007
Last updated
10/17/2012
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