Organization
MAYFRANK INC
Active
Other names
Sterling Optical, Iverson Mall
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOMINIC SUNDAY ONWUKWE OD (PRESIDENT & CLINICAL DIRECTOR)
(240) 245-4022
Entity
Organization
Contact information
Practice address
3801 BRANCH AVE STE D, TEMPLE HILLS, MD 20748-1415
(301) 899-1454
(301) 702-2854
Mailing address
3801 BRANCH AVE STE D, TEMPLE HILLS, MD 20748-1415
(301) 899-1454
(301) 702-2854
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TA1912
MD
152WC0802X
Corneal and Contact Management Optometrist
TA1912
MD
152WP0200X
Pediatric Optometrist
TA1912
MD
152WS0006X
Sports Vision Optometrist
Primary
OP1000092
DC
152WS0006X
Sports Vision Optometrist
TA1912
MD
152WX0102X
Occupational Vision Optometrist
TA1912
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020377700
—
MD
Enumeration date
01/06/2009
Last updated
01/06/2009
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