Individual
ANISA I GIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-9441
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2327
MD
152WX0102X
Occupational Vision Optometrist
7131T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA2327
MD LICENSE
MD
Enumeration date
10/15/2007
Last updated
09/14/2022
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