NPI 1154479657

Optical Shop

Organisation Optician Silver Spring, MD

Practice location

Address: 8630 Fenton St Suite 123, Silver Spring, MD 20910-3806
Phone: (301) 589-7732
Fax: (301) 589-5245

Authorised official

Name: Elizabeth Bonny
Title: Office Manager
Phone: (301) 588-1177

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X

Other Technician/Technologist providers in Maryland →

Registry record

NPI: 1154479657
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 18 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.