NPI 1003102757

David Zachary Ephraim, OD

Practitioner Optometrist Kensington, MD

Practice location

Address: 10518 Connecticut Ave, Kensington, MD 20895-2467
Phone: (301) 942-2221
Fax: (301) 942-6338
Mailing address: 510 Notley Rd, Silver Spring, MD 20904-6220

Registered specialties (6)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TA2283 (MD)

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Eye and Vision Services Providers Taxonomy 152W00000X Licence 7999538-9934 (UT)

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Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618002098 (VA)

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Eye and Vision Services Providers Taxonomy 152W00000X Licence OPT0002942 (CO)

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Eye and Vision Services Providers Taxonomy 152W00000X Licence 046010522 (IL)

Registry record

NPI: 1003102757
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Jun 2011
Record last updated: 29 Jul 2013

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.