Organization · NPI-2

Alan H. Grant, O.D., Chtd.

Optometrist · Bethesda, MD

NPI number1578857694
StatusActive
Last updated in NPPESApr 22, 2016

Details

NPI
1578857694
Entity type
Organization (NPI-2)
Legal business name
Alan H. Grant, O.D., Chtd.
Organization subpart
No
Enumeration date
Jun 6, 2011
Last updated
Apr 22, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristTA0791MDYes

Practice location

7209 Armat Dr
Bethesda, MD 20817-2107

Phone 301-631-4366

Mailing address

7209 Armat Dr
Bethesda, MD 20817-2107

Phone 301-631-4366

Authorized official

Leslie Grant Albert
Optometrist
3016314366

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