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
Update your record
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