| NPI | 1003853136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BAHN Manager 301-657-3022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: MD A1177) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-08-22 |