| NPI | 1538352315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONNIE S AMERNICK Business Manager 410-321-1182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2011-01-21 |