NPI | 1790032290 |
---|---|
Doing Business As | VISIONARY EYE CARE |
Entity Type | Organization |
Authorized Contact | BRIAN M. GRANEK President 410-363-0060 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA-1751) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MD TA-1751) |
Enumeration Date | 2012-08-14 |
Last Update Date | 2013-03-21 |