NPI | 1548253040 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE W DUNCAN President 410-828-5558 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: MD D0022348) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA1154) |
152W00000X Optometrist (Licence: MD TA1021) | |
152W00000X Optometrist (Licence: MD TA1147) | |
Enumeration Date | 2005-08-30 |
Last Update Date | 2013-09-12 |