| NPI | 1679853402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW EDWARD BRODAK Owner 301-330-4265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: MD TA1115) |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2019-05-02 |