| NPI | 1588784235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEVIN Owner/O PT Ometrist 410-207-3639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2019-10-17 |