Organization
PRECISION VISION CORPORATION
Active
Other names
Precision Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SELVIN GNANAKKAN OD (OPTOMETRIST)
(602) 770-9300
Entity
Organization
Contact information
Practice address
1500 REISTERSTOWN RD, SUITE 208, PIKESVILLE, MD 21208-4339
(410) 653-2400
(410) 653-2402
Mailing address
1500 REISTERSTOWN RD, SUITE 208, PIKESVILLE, MD 21208-4339
(410) 653-2400
(410) 653-2402
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1127
AZ
152W00000X
Optometrist
Primary
1769
MD
152WC0802X
Corneal and Contact Management Optometrist
1769
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031847700
—
MD
Enumeration date
12/12/2014
Last updated
12/12/2014
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