| NPI | 1013509439 |
|---|---|
| Doing Business As | THE OPTICAL SHOP AT AZAR EYE |
| Entity Type | Organization |
| Authorized Contact | SUSAN DONOWAY Credentialing Coordinator 410-546-2500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-03-08 |