Organization
URBANA EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRVING GAN O.D. (PRESIDENT)
(301) 810-5104
Entity
Organization
Contact information
Practice address
8925 FINGERBOARD RD, SUITE E, FREDERICK, MD 21704-8163
(301) 810-5104
(301) 810-5105
Mailing address
8925 FINGERBOARD RD, SUITE E, FREDERICK, MD 21704-8163
(301) 810-5104
(301) 810-5105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1469
MD
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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