Eagle Eye Vision Associates, LLC
Optometrist in Silver Spring, MD. Organization (NPI-2).
NPI number1730330010
StatusActive
Last updated in NPPESOct 6, 2008
Details
- NPI
- 1730330010
- Entity type
- Organization (NPI-2)
- Legal business name
- Eagle Eye Vision Associates, LLC
- Organization subpart
- No
- Enumeration date
- Oct 6, 2008
- Last updated
- Oct 6, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | TA1176 | MD | Yes |
Practice location
13830 Outlet DrSilver Spring, MD 20904-4970
Phone 301-890-9779 · Fax 301-890-0923
Mailing address
13830 Outlet DrSilver Spring, MD 20904-4970
Phone 301-890-9779 · Fax 301-890-0923
Authorized official
Scott Klasman
Member
3018909779
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