NPI | 1104572494 |
---|---|
Doing Business As | COASTAL VISION CARE |
Entity Type | Organization |
Authorized Contact | ERICA RYAN JURAS Owner 443-223-3447 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2022-02-24 |
Last Update Date | 2025-03-04 |