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 |