Doctor Name: | MR. JIM RAYMOND DIPPREY |
NPI Number: | 1407035777 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DISPENSING OPTICIAN |
License Number: | |
Business Practice Address: | 512 Highway 281 Marble Falls, TX - 786545709 |
Business Phone Number: | 8306933201 |
Business Fax Number: | 8306933201 |
Mailing Address: | 512 Highway 281, Precision Optical Of Central Texas MARBLE FALLS |
State: | TX |
Postal Code: | 786545709 |
Phone Number: | 8306933201 |
Fax Number: | 8306933201 |
NPI Enumeration Date: | 11/02/2007 |
NPI Last Update Date: | 03/18/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A broad category grouping different kinds of technologists and technicians. See individual definitions. |