| NPI | 1699106740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA MARIA GRILLO Managing Member 443-204-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1396) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2023-12-20 |