| NPI | 1194914333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE JOYCE WENGER President 301-299-5666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2019-06-11 |