| NPI | 1184234098 |
|---|---|
| Doing Business As | THE OPTICAL SHOP @ AZAR EYE |
| Entity Type | Organization |
| Authorized Contact | SUSAN DONOWAY Credentialing Coordinator 410-546-2500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2021-09-24 |