| NPI | 1215040456 |
|---|---|
| Other Name | THE OPTICAL PLACE |
| Entity Type | Organization |
| Authorized Contact | TED HOLLOWAY General Manager 410-282-6245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD 03180675) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2008-06-17 |