Individual
DR. LANCE MCNAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., PH.D.
Contact information
Practice address
1811 G ST, JB ANDREWS, MD 20762-5677
(301) 735-1393
Mailing address
79 POTOMAC AVE SE APT 916, WASHINGTON, DC 20003-3746
(714) 272-7480
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13892T
CA
152WC0802X
Corneal and Contact Management Optometrist
0618001819
VA
152WC0802X
Corneal and Contact Management Optometrist
OP2000527
DC
152WC0802X
Corneal and Contact Management Optometrist
OPT13892TPA
CA
152WC0802X
Corneal and Contact Management Optometrist
TA2019
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CX089Z
MEDICARE PTAN
CA
Enumeration date
03/16/2007
Last updated
10/24/2022
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