Organization · Type 2 NPI
Jerry D Redwine
Eyewear Supplier · Muleshoe, TX
NPI number
1457537383
Active
Practice location
111 E 3rd St
Muleshoe, TX 79347-3801
Fax (806) 272-3824
Mailing address
PO Box 1011
Muleshoe, TX 79347-1011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 2296T (TX) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Another provider at this address
About NPI 1457537383
Jerry D Redwine's National Provider Identifier is 1457537383, issued on Jan 9, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Muleshoe, TX. The record was last updated on Jan 10, 2008.