NPI | 1992899967 |
---|---|
Doing Business As | CANTON VISION CENTER |
Entity Type | Organization |
Authorized Contact | RYAN QUENTIN BEVERIDGE Optometrist 410-534-2015 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA 1553) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2015-04-14 |