| NPI | 1740241124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRAINE BISHOP WHITE Business Administrator 301-530-5200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101231256) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |