| NPI | 1477363976 |
|---|---|
| Doing Business As | ELLICOTT CITY VISION |
| Entity Type | Organization |
| Authorized Contact | DANIELLE BARAN Optometrist 410-991-8210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-02-10 |