| NPI | 1306617394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C SCOTT Owner 410-571-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2024-01-10 |
| Last Update Date | 2025-03-07 |