| NPI | 1053151803 |
|---|---|
| Doing Business As | MARYLAND EYE CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER STANSBERY Credentialing Agent 704-754-9565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |