NPI | 1568678290 |
---|---|
Doing Business As | MY EYE DR |
Entity Type | Organization |
Authorized Contact | SUE DOWNES Secretary 703-847-8899 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA0681) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA0599) |
152W00000X Optometrist (Licence: MD TA0866) | |
Enumeration Date | 2007-05-16 |
Last Update Date | 2024-05-02 |