Organization Name: | TAYLOR-MADE EYEWEAR |
NPI Number: | 1689861957 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERESA COTHRAN (OWNER/OPTICIAN) |
Mailing Address: | 435 N Main St Mauldin |
State: | SC US |
Postal Code: | 296622305 |
Phone Number: | 8644587884 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2007 |
NPI Last Update Date: | 10/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |