NPI | 1295387298 |
---|---|
Doing Business As | BRETON BAY OPTICAL, OPTOMETRIST |
Entity Type | Organization |
Authorized Contact | DARRYL SMITH Optometrist 301-789-6636 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2019-07-10 |
Last Update Date | 2019-07-10 |