NPI | 1467151696 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER A COLEMAN Owner/Optometrist 240-498-6768 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2023-02-27 |
Last Update Date | 2023-02-27 |