NPI | 1154961134 |
---|---|
Entity Type | Organization |
Authorized Contact | MARIA C SCOTT Owner 410-571-7998 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2020-01-08 |
Last Update Date | 2020-01-08 |