Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FC0800X | Contact Lens | ||
N | 156FC0801X | Contact Lens Fitter | ||
N | 156FX1700X | Ocularist | N/A | TX |
N | 156FX1800X | Optician | N/A | TX |
NPI | 1952407801 |
---|---|
Provider Name | James Edward Layton |
First Address | Corpus Christi, TX 78405-1808 |
Second Address | Corpus Christi, TX 78405-1808 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/09/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
500634 | BCBS NUMBER (01) | TX |
MKW9SL63 | OPTICARE (01) | TX |