| NPI | 1326316944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA I KUMP Owner 301-637-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: MD D0067770) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2012-03-14 |