Dr. Charles R. Pruden Jr. Od

NPI #1669749388 in Wilson, North Carolina

Provider Information

NPI Number: 1669749388
Entity Type: Organization
Organization Name: Dr. Charles R. Pruden Jr. Od
Primary Specialty: Eyewear Supplier
Enumeration Date: Nov 23, 2011
Last Updated: Nov 28, 2011

Practice Location

Address: 211 VANCE ST E
City: Wilson
State: North Carolina
ZIP Code: 27893-4117
Phone: (252) 237-9191

Authorized Official

Name: DR. CHARLES ROY PRUDEN JR., OD
Title: OPTOMETRIST
Phone: (252) 237-9191

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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