| NPI | 1386809945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PATRICK HIGINBOTHAM Optometrist 301-663-8858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MD TA1174) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-26 |