Organization
DMV VISION CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHAB MOTAMEDI OD (OPTOMETRIST)
(301) 374-9615
Entity
Organization
Contact information
Practice address
3134 CRAIN HWY, WALDORF, MD 20603-4846
(301) 374-9615
Mailing address
3048 SUGAR LN, VIENNA, VA 22181-6061
(610) 349-6810
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2470
MD
Other
Enumeration date
02/05/2018
Last updated
02/05/2018
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