| NPI | 1003486341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C SCOTT Owner 410-571-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2025-03-07 |