NPI 1902074875

Elliott J. Klonsky OD

Organisation Optometrist Crofton, MD

Practice location

Address: 2225c Defense Hwy, Crofton, MD 21114-2403
Phone: (410) 721-2500

Authorised official

Name: Elliott Joseph Klonsky
Title: Owner
Phone: (410) 721-2500

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TAO687 (MD)

Other Optometrist providers in Maryland →

Eyewear Supplier

Suppliers Taxonomy 332H00000X Licence TAO687 (MD)

Other Eyewear Supplier providers in Maryland →

Registry record

NPI: 1902074875
Entity type: Organization
NPI issued: 13 Feb 2008
Record last updated: 4 Apr 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.