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 |