| NPI | 1821330119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONYA MARIE JONES Owner 301-802-7527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: MD 0253907) |
| Additional Taxonomies | 152W00000X Optometrist |
| 152WC0802X Optometrist Corneal and Contact Management | |
| 152WL0500X Optometrist Low Vision Rehabilitation | |
| 152WP0200X Optometrist Pediatrics | |
| 152WS0006X Optometrist Sports Vision | |
| 152WV0400X Optometrist Vision Therapy | |
| 152WX0102X Optometrist Occupational Vision | |
| 156FC0801X Technician/Technologist Contact Lens Fitter | |
| 156FX1100X Technician/Technologist Ophthalmic | |
| 156FX1201X Technician/Technologist Optometric Assistant | |
| 156FX1202X Technician/Technologist Optometric Technician | |
| 156FX1800X Technician/Technologist Optician | |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2013-03-25 |