| NPI | 1689096497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ZACHARY EPHRAIM Sole Member LLC 301-942-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2283) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |