| NPI | 1124083530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN N GLAZIER Optometrist CEO 301-670-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA0733) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA1210) |
| 152W00000X Optometrist (Licence: MD TA1733) | |
| 152W00000X Optometrist (Licence: MD TA1820) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2008-05-07 |