Organization
CHESTERTOWN OPTICAL SHOPPE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY RABINOWITZ (OWWNER)
(410) 778-9089
Entity
Organization
Contact information
Practice address
932 WASHINGTON AVE, UNIT G, CHESTERTOWN, MD 21620-3324
(410) 778-9089
(410) 778-5617
Mailing address
932 WASHINGTON AVE, UNIT G, CHESTERTOWN, MD 21620-3324
(410) 778-9089
(410) 778-5617
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
530852-01 X758
CAREFIRST ID#S
MD
Enumeration date
12/04/2006
Last updated
08/22/2020
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