| NPI | 1780878207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE L PEARCE Financial Administrator 410-433-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 174400000X Specialist |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2020-04-24 |