NPI | 1003127887 |
---|---|
Entity Type | Organization |
Authorized Contact | NGHI NINA NGUYEN PHUONG DOYLE Optometrist Owner 410-721-2500 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1908) |
Enumeration Date | 2010-06-28 |
Last Update Date | 2025-01-21 |