| NPI | 1952540676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY P MAINOLFI Sole Proprietor 410-937-1124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD ta 1370) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2023-06-05 |