| NPI | 1639464647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MARIE JONES Owner 301-490-5368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MD 02413211) |
| Enumeration Date | 2011-06-17 |
| Last Update Date | 2012-05-10 |