| NPI | 1356435572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E LABORWIT Secretary 410-821-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1383) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: MD D0050028) |
| 207W00000X Ophthalmology (Licence: MD D0006791) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-04-04 |