NPI 1427299916

Ed Optical LLC

Organisation Exclusive Provider Organization Waldorf, MD

Practice location

Address: 3370 Leonardtown Rd Suite 232, Waldorf, MD 20601-3624
Phone: (301) 885-0016
Fax: (206) 600-4463

Authorised official

Name: Ayodele O Dayisi
Title: President/ Ceo
Phone: (301) 885-0016

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1427299916
Entity type: Organization
NPI issued: 13 Mar 2009
Record last updated: 7 Oct 2010

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.