NPI | 1033453790 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE CONSTANTINOPOULOS Optometrist/Owner 410-423-4061 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1802) |
Enumeration Date | 2012-11-19 |
Last Update Date | 2012-11-19 |