| NPI | 1497047179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY DORAE WOODY President/Owner 410-590-8625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1875) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2011-05-12 |