NPI | 1700061173 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES V JONES President 301-334-1016 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD 00794) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: MD 00794) |
Enumeration Date | 2008-01-04 |
Last Update Date | 2023-05-01 |