NPI 1578623013

John Christopher Minardi, OD

Practitioner Optometrist Kensington, MD

Practice location

Address: 10810 Connecticut Ave, Kensington, MD 20895-2138
Phone: (301) 929-7434
Fax: (301) 929-7024
Mailing address: 2101 E Jefferson St Kaiser Permanente Medicare Enrollment, Rockville, MD 20852-4908

Registered specialties (3)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence TA1030 (MD)

Other Optometrist providers in Maryland →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 0618000579 (VA)

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence OP577 (DC)

Registry record

NPI: 1578623013
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Dec 2006
Record last updated: 6 Dec 2012

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.