Organization
OPTIC IVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PNINA SCHWARTZ R.N. (OFFICE MANAGER)
(410) 857-3734
Entity
Organization
Contact information
Practice address
405 N CENTER ST, WESTMINSTER, MD 21157-5119
(410) 857-3734
(410) 857-9043
Mailing address
405 N CENTER ST, WESTMINSTER, MD 21157-5119
(410) 857-3734
(410) 857-9043
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1836
MD
Other
Enumeration date
02/07/2008
Last updated
02/14/2008
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