Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY JANE TUDOR
Active Sole ProprietorMRS. MARY JANE TUDOR is a Optician, Dispensing healthcare provider located in SOPHIA, West Virginia. NPI 1154585941 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · SOPHIA, WV
Registration Details
- NPI Number
- 1154585941
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 11, 2008 (18.114487059343 yrs)
- Last Updated
- Jul 11, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
834 ROBERT C BYRD DRIVE UNIT BSOPHIA, WV, 25921Browse WV providers · Browse ZIP 25921
- Phone
- 3046833580
- Fax
- 3046833582
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.