| NPI | 1790267219 |
|---|---|
| Doing Business As | EYE CENTER AT GBMC PPW |
| Entity Type | Organization |
| Authorized Contact | LAURIE R. BEYER EVP & CFO 443-849-2915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2024-12-26 |