NPI | 1619093762 |
---|---|
Doing Business As | CROFTON OPTICAL |
Entity Type | Organization |
Authorized Contact | WARREN STATMAN Director 410-721-5533 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2007-03-21 |
Last Update Date | 2011-06-02 |