Organization
CHASE EYE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELVIN GNANAKKAN O.D. (OPTOMETRIST)
(410) 676-1010
Entity
Organization
Contact information
Practice address
1812 PULASKI HWY, SUITE A, EDGEWOOD, MD 21040-1697
(401) 676-1010
(443) 922-7582
Mailing address
1812 PULASKI HWY, SUITE A, EDGEWOOD, MD 21040-1697
(401) 676-1010
(443) 922-7582
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1769
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031837000
—
MD
Enumeration date
09/16/2010
Last updated
09/16/2010
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