Organization
POOLESVILLE VISION AND CONTACT LENS SERVICE
Active
Other names
Poolesville Vision Service
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBIN MEVISSEN O.D. (OWNER)
(310) 916-3214
Entity
Organization
Contact information
Practice address
20005 B FISHER AVE, POOLESVILLE, MD 20837-2408
(301) 916-3214
(301) 916-3101
Mailing address
20005 B FISHER AVE, POOLESVILLE, MD 20837-2408
(301) 916-3214
(301) 916-3101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1222
MD
152WC0802X
Corneal and Contact Management Optometrist
TA1222
MD
152WL0500X
Low Vision Rehabilitation Optometrist
TA1222
MD
152WP0200X
Pediatric Optometrist
TA1222
MD
152WS0006X
Sports Vision Optometrist
TA1222
MD
152WV0400X
Vision Therapy Optometrist
TA1222
MD
152WX0102X
Occupational Vision Optometrist
TA1222
MD
Other
Enumeration date
08/10/2011
Last updated
08/09/2018
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