| NPI | 1497230866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C SCOTT Owner 410-571-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 156FX1100X Technician/Technologist, Ophthalmic |
| 156FX1800X Technician/Technologist, Optician | |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2022-09-29 |