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Chestertown Optical Shoppe INC

Technician/Technologist, Optician in Chestertown, MD. Organization (NPI-2).

NPI number1194893370
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1194893370
Entity type
Organization (NPI-2)
Legal business name
Chestertown Optical Shoppe INC
Organization subpart
No
Enumeration date
Dec 4, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician––Yes

Practice location

932 Washington Ave
Unit G
Chestertown, MD 21620-3324

Phone 410-778-9089 · Fax 410-778-5617

Mailing address

932 Washington Ave
Unit G
Chestertown, MD 21620-3324

Phone 410-778-9089 · Fax 410-778-5617

Authorized official

Terry Rabinowitz
Owwner
4107789089

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