| NPI | 1366085888 |
|---|---|
| Doing Business As | THE OPTICAL SHOP AT AZAR EYE |
| Entity Type | Organization |
| Authorized Contact | JASON M TU Md 410-546-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2019-10-28 |