Provider Demographics
NPI:1134335102
Name:RYTHER, JAMES
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:RYTHER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5602 RICHMOND ROAD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503
Mailing Address - Country:US
Mailing Address - Phone:903-792-4087
Mailing Address - Fax:903-792-9275
Practice Address - Street 1:5602 RICHMOND ROAD
Practice Address - Street 2:SUITE 108
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503
Practice Address - Country:US
Practice Address - Phone:903-792-4087
Practice Address - Fax:903-792-9275
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX55729OtherDAVIS VISION