MRS. MARY JANE TUDOR (NPI# 1154585941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154585941 |
Entity Type | Individual |
Full Name | MRS. MARY JANE TUDOR |
Practice Address |
834 Robert C Byrd Drive Unit B Sophia WV 25921 |
Mailing Address |
Po Box 103 500 East Railroad Ave Sophia WV 25921 |
Practice Telephone | 3046833580 |
Practice Fax Number | 3046833582 |
Mailing Telephone | 3046833580 |
Mailing Fax Number | 3046833582 |
Enumeration Date | 2008-07-11 |
Last Update Date | 2008-07-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
WV | Eye and Vision Services Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518141092 | Mary S Tudor | Counselor | Madigan Army Medical Center, 9040 Reid St, Attn: Mchj-qcr, Tacoma, WA 98431-2252 | 2007-12-20 |
Street Address |
834 ROBERT C BYRD DRIVE UNIT B |
City | SOPHIA |
State | WV |
Zip Code | 25921 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477152510 | Cortney Louise Lacy | Technician | 234 East Railroad Ave, Sophia, WV 25921 | 2020-10-20 |
1952909889 | April Chapman | Technician | 141 Leona Dr, Sophia, WV 25921 | 2020-10-13 |
1205445400 | Alesia Marie Basham | Technician | 216 Blue Room Rd, Sophia, WV 25921 | 2020-07-24 |
1104435304 | Shannon T. Linville | Technician | 304 W. Railroad Ave., Apt.2, Sophia, WV 25921 | 2020-07-24 |
1073077194 | James Kincaid | Pharmacist | 837 Robert C. Byrd Drive, Sophia, WV 25921 | 2019-01-23 |
1912472069 | Lester Square Pharmacy | Pharmacy | 837 Robert C Byrd Dr, Sophia, WV 25921 | 2018-10-04 |
1609194505 | New River Health Association, Inc. | Pharmacy | 302 W. Main St, Sophia, WV 25921 | 2010-05-17 |
1558590166 | A Place To Heal Inc | Physical Therapist | 106 W. Main Street, Sophia, WV 25921 | 2009-07-06 |
1023257599 | Jeremiah D Miller | Family Medicine | 302 W. Main St., Sophia, WV 25921 | 2009-02-06 |
1699962480 | Matthew Patrick Mcginnis | Dentist | 460 Robert C Byrd Dr, Sophia, WV 25921 | 2007-09-26 |
Find all providers in zip 25921 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528148 | Jordan Renee Morrison | Technician/Technologist | 139 Conference Center Way Ste 121, Bridgeport, WV 26330-9147 | 2020-11-05 |
1871763862 | Wayne Dougherty Dba Wheeling Optical | Technician/Technologist | 1101 Market Street, Wheeling, WV 26003-2905 | 2008-03-05 |
1629257522 | Robert Martin Mustard II | Technician/Technologist | 210 1/2 North Street, Bluefield, WV 24701 | 2007-10-26 |
1033240429 | Wal-mart Stores East, L.p. | Technician/Technologist | 1 Tygart Valley Mall, Fairmont, WV 26554-3430 | 2007-03-08 |
1588711873 | Melvin Leroy Mckinney Sr. | Technician/Technologist | 605 Bland St, Bluefield, WV 24701 | 2007-01-05 |
1922178474 | Tea Vision Inc | Technician/Technologist | 5 Putnam Villiage, Teays, WV 25569 | 2006-11-09 |
1356410849 | Jennifer L Field | Technician/Technologist | 10565 Veterans Memorial Highway, Masontown, WV 26542-9577 | 2006-11-07 |
1598841827 | Wal-mart Stores East, Lp | Technician/Technologist | 6051 University Town Centre Dr., Morgantown, WV 26534 | 2006-10-30 |
1235210212 | Wal-mart Stores East, Lp | Technician/Technologist | 1881 Robert C Byrd Dr, Beckley, WV 25801-8355 | 2006-10-18 |
1972690311 | Rebecca A. Lake | Technician/Technologist | 612 Rosebud Plz, Clarksburg, WV 26301-9386 | 2006-10-06 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.