Saint Lukes Optical Center LLC
Optometrist in Baltimore, MD. Organization (NPI-2).
NPI number1760918924
StatusActive
Last updated in NPPESMay 10, 2017
Details
- NPI
- 1760918924
- Entity type
- Organization (NPI-2)
- Legal business name
- Saint Lukes Optical Center LLC
- Organization subpart
- No
- Enumeration date
- May 10, 2017
- Last updated
- May 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
1005 N Point BlvdSuite 704
Baltimore, MD 21224
Phone 410-282-6767 · Fax 410-282-3777
Mailing address
11909 Minor Jones DriveOwings Mills, MD 21117
Phone 410-277-3937 · Fax 410-281-9388
Authorized official
Ivan Garcia
Owner
4103717905
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