Individual
DR. JANICE ANITA SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10050 BALTIMORE NATIONAL PIKE STE F100, ELLICOTT CITY, MD 21042-3684
(410) 461-2020
(410) 394-8054
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1197
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907595000
—
MD
Enumeration date
01/04/2007
Last updated
09/16/2024
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