| NPI | 1467593582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED JEFFREY SIROTKIN Owner Optometrist 410-964-8516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MD TA 0870) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2010-04-16 |