NPI 1235493396

Chesapeake Bay Optical LLC

Organisation Eyewear Supplier Annapolis, MD

Practice location

Address: 2003 Medical Pkwy Suite G90, Annapolis, MD 21401-7992
Phone: (410) 841-1909
Fax: (410) 571-8624

Authorised official

Name: Sandra D Bruther
Title: Coowner
Phone: (410) 841-1909

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 02526333 (MD)

Other Eyewear Supplier providers in Maryland →

Registry record

NPI: 1235493396
Entity type: Organization
NPI issued: 3 Jul 2012
Record last updated: 3 Jul 2012

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.