Organization · Type 2 NPI

Dr. Charles R. Pruden Jr. Od

Eyewear Supplier · Wilson, NC

NPI number 1669749388 Active

Practice location

211 Vance St E
Wilson, NC 27893-4117

Fax (252) 237-3918

Mailing address

PO Box 757
Wilson, NC 27894-0757

Specialties and licenses

TaxonomyCodeLicense
Eyewear Supplier Primary 332H00000X746 (NC)

Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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About NPI 1669749388

Dr. Charles R. Pruden Jr. Od's National Provider Identifier is 1669749388, issued on Nov 23, 2011. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Wilson, NC. The record was last updated on Nov 28, 2011.