| NPI | 1992121669 |
|---|---|
| Doing Business As | IGLASSES@FOURCORNERS |
| Entity Type | Organization |
| Authorized Contact | JUDITH POLLAK Owner 301-754-0101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD DA0637) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |