Jerry D Redwine in Muleshoe - Eyewear Supplier

Jerry D Redwine - NPI 1457537383

Jerry D Redwine is a Eyewear Supplier in Muleshoe, Texas. Jerry D Redwine practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Jerry D Redwine is 1457537383. The last update date is 2008-01-10.

Jerry D Redwine's current location address is Po Box 1011, Muleshoe, Texas. You can contact this provider via phone number 8062724705 and fax number 8062723824. The mailing address for Jerry D Redwine is Po Box 1011, Muleshoe, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Jerry D Redwine
Address Po Box 1011, Muleshoe, Texas
Phone Number 8062724705
Fax Number 8062723824
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OFFICE MAN
Authorized Official Name Redwine Jean Donna
Telephone Number 8062724705

NPI Number Detail

NPI Number 1457537383
Provider Enumeration Date 2008-01-09
Last Updated Date 2008-01-10

Provider Mailing Address Detail

Address Po Box 1011
City Muleshoe
State Texas (TX)
Post Code 793471011
Phone Number 8062724705
Fax Number 8062723824

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 2296T
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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FAQs about Jerry D Redwine

What is the unique 10-digit identifier code assigned to Jerry D Redwine by the Centers for Medicare & Medicaid Services?

The Jerry D Redwine has been issued the NPI (National Provider Identifier) 1457537383 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Jerry D Redwine is physically located?

The Jerry D Redwine is situated at the following address: Po Box 1011, Muleshoe, TX 793471011.

What is Jerry D Redwine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jerry D Redwine is Eyewear Supplier, and the taxonomy classification code that categorizes this area of expertise is 332H00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1457537383 to Jerry D Redwine?

The Jerry D Redwine received its 1457537383 assignment from the Centers for Medicare & Medicaid Services on 2008-01-09.

As of what date were the Jerry D Redwine's details last updated?

The information pertaining to the Jerry D Redwine, including its address, specialty, and other details, was most recently updated on 2008-01-10.

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