| NPI | 1548311640 |
|---|---|
| Doing Business As | MODERN EYES |
| Entity Type | Organization |
| Authorized Contact | MARK P BORSUK Owner 240-631-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1522) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: MD TA1522) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2007-12-14 |