| NPI | 1023103801 |
|---|---|
| Former Legal Business Name | DR ALAN N. GLAZIER OPTOMETRIST P.A. |
| Doing Business As | SHADY GROVE EYE & VISION CARE |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BARNHOUSE Office Manager 301-670-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1210) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2018-10-23 |