NPI 1013070762

Ronald Geoffrey Havelock, OD

Practitioner Optometrist Laurel, MD

Practice location

Address: 3450 Fort Meade Rd Laurel Professional Bld. STE 104, Laurel, MD 20724-2040
Phone: (301) 483-3323
Fax: (301) 483-3345

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence MD1074 (MD)

Other Optometrist providers in Maryland →

Registry record

NPI: 1013070762
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2006
Record last updated: 9 Jul 2007

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.