| NPI | 1508342064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA SOLEDAD ROMERO CEO 410-982-7172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207W00000X Ophthalmology (Licence: MD D74500) | |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2020-12-31 |