| 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 |