Organization · Type 2 NPI
Eye Restoration Clinic Inc.
Customized Equipment (DME) · Upper Marlboro, MD
NPI number
1174668693
Active
Practice location
9450 Pennsylvania Ave, Suite #15
Upper Marlboro, MD 20772-3665
Fax (301) 599-0578
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ocularist | 156FX1700X | 3853 (MD) |
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
2 other providers at this address
Other customized equipment (dme) providers in Upper Marlboro
About NPI 1174668693
Eye Restoration Clinic Inc.'s National Provider Identifier is 1174668693, issued on Feb 21, 2007. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Upper Marlboro, MD. The record was last updated on Mar 21, 2012.