Colonial Opticians Of Poolesville INC.
Durable Medical Equipment & Medical Supplies, Customized Equipment in Gaithersburg, MD. Organization (NPI-2).
NPI number1912164070
StatusActive
Last updated in NPPESSep 11, 2020
Details
- NPI
- 1912164070
- Entity type
- Organization (NPI-2)
- Legal business name
- Colonial Opticians Of Poolesville INC.
- Organization subpart
- No
- Enumeration date
- May 16, 2008
- Certification date
- Sep 11, 2020
- Last updated
- Sep 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332BC3200X | Durable Medical Equipment & Medical Supplies, Customized Equipment | 15302753 | MD | Yes |
| 261Q00000X | Clinic/Center | – | – |
Other names
- Colonial Opticians INC. (Doing Business As)
Practice location
718 Center Point WayGaithersburg, MD 20878-6469
Phone 301-990-0398 · Fax 303-990-9486
Mailing address
718 Center Point WayGaithersburg, MD 20878-6469
Phone 301-990-0398 · Fax 303-990-9486
Authorized official
Karen Melissa Williams
President
3016573332
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