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DR. CHARLES R. PRUDEN JR. OD
NPI 1669749388
Eyewear Supplier in Wilson, NC

Active since November 23, 2011
211 VANCE ST E, WILSON, NC 27893(252) 237-9191(252) 237-3918 Get Directions Write a Review

NPPES record last updated: November 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Charles R. Pruden Jr. Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CHARLES R. PRUDEN JR. OD (NPI 1669749388) is a healthcare organization registered as an eyewear supplier in Wilson, North Carolina and active in the NPI registry since November 2011. The organization lists Charles Roy Pruden, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1669749388
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameDR. CHARLES R. PRUDEN JR. OD
Location Address211 VANCE ST EWilson, NC 27893-4117
Mailing AddressPo Box 757Wilson, NC 27894-0757 · (252) 237-9191 · Fax (252) 237-3918
Phone(252) 237-9191
Fax(252) 237-3918
Organization SubpartNo
Authorized OfficialCharles Roy PrudenOptometrist · (252) 237-9191
Enumeration DateNovember 23, 2011
Last NPPES UpdateNovember 28, 2011
✔ NPI 1669749388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License✔ Licensed in NC · 746
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
211 VANCE ST E, Wilson, NC 27893
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Other Identifiers 5

Medicare NSC0536950001NC
Medicaid8909730NC
Other1245232826NC · Individual Npi
Medicare UPINT64685NC
Medicare PIN246120NC

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr. Charles R. Pruden Jr. Od's NPI number?

The NPI number for Dr. Charles R. Pruden Jr. Od is 1669749388. It was assigned to this organization in the NPPES registry on November 23, 2011.

Where is Dr. Charles R. Pruden Jr. Od located?

Dr. Charles R. Pruden Jr. Od is located at 211 Vance St E, Wilson, NC 27893. The listed phone number is (252) 237-9191.

What is Dr. Charles R. Pruden Jr. Od's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Dr. Charles R. Pruden Jr. Od was last updated on November 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.