MEDICARE: JAMES EDWARD LAYTON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	156FC0800X	Contact Lens Technician/Technologist
2	156FC0801X	Contact Lens Fitter
3	156FX1700X	Ocularist	N/A	TX
4	156FX1800X	Optician	N/A	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	500634	OTHER	TX	BCBS NUMBER
2	MKW9SL63	OTHER	TX	OPTICARE

General Provider Information

NPI Number	:	1952407801
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES EDWARD LAYTON

Provider Business Mailing Address
First Line	:	2617 MORGAN AVE
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78405-1808
Country	:	US
Telephone Number	:	361-883-2216
Fax Number	:

Provider Business Practice Location Address
First Line	:	2617 MORGAN AVE
Second Line	:
City	:	CORPUS CHRISTI
State	:	TX
Zip	:	78405-1808
Country	:	US
Telephone Number	:	361-883-2216
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2006
Last Update Date	:	09/11/2025

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