| NPI | 1467497107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA FEGER President 443-926-4435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD ta1949) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |