Organization
MOBILE OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA FEGER (OWNER)
(443) 926-4435
Entity
Organization
Contact information
Practice address
12407 SUSSEX LN, BOWIE, MD 20715-3148
(443) 926-4435
Mailing address
477 86TH AVE, ST PETE BEACH, FL 33706-1532
(443) 926-4435
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3387101
—
MD
Enumeration date
05/01/2017
Last updated
05/01/2017
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