Individual
DR. ELIZABETH C MCMUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(410) 293-4378
Mailing address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(410) 293-4378
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002594
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025940
CONNECTICARE PROVIDER NUM
CT
01
—
090002594CT01
ANTHEM PROVIDER NUMBER
CT
01
—
205205873
TRICARE
CT
01
—
2447250
CIGNA
CT
01
—
2584969
UNITED
CT
01
—
7280400
AETNA PROVIDER NUMBER
CT
01
—
P3655173
OXFORD
CT
Enumeration date
11/17/2005
Last updated
03/11/2024
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