| NPI | 1609471150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C SCOTT Authorized Official 410-571-7998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-02 |