| NPI | 1104006816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIE MILLER LERNER O PT Ometrist 301-913-0293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MD TA1352) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2018-03-17 |