| NPI | 1962537092 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE E HARRIS Optician 301-253-9828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: MD 15240973) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |