| NPI | 1144260662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE R WHEELER Owner/Optician 301-678-6993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MD 15715) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2010-12-28 |