NPI 1538232855

Kemilla E Charles, OD

Practitioner Optometrist Largo, MD

Practice location

Address: 1221 Mercantile Lane, Largo, MD 20774-5374
Phone: (301) 618-5578
Fax: (301) 618-5673
Mailing address: 2101 East Jefferson Street Ppqa Medicare Compliance Unit 6 West Attn Theresa Brook, Rockville, MD 20852-4908

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TA1444 (MD)

Other Optometrist providers in Maryland →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPC3061 (FL)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence OP765 (DC)

Registry record

NPI: 1538232855
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2006
Record last updated: 8 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.