NPI | 1417970609 |
---|---|
Doing Business As | MAPLE LAWN EYE CARE CENTER |
Entity Type | Organization |
Authorized Contact | JACALYN RENEE ELY Owner 301-490-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2006-07-26 |
Last Update Date | 2023-10-11 |