Organization
JEREMY GOLDMAN, O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY GOLDMAN O.D. (PRESIDENT)
(443) 621-0756
Entity
Organization
Contact information
Practice address
12621 WATERSPOUT CT, OWINGS MILLS, MD 21117-1028
(443) 621-0756
Mailing address
12621 WATERSPOUT CT, OWINGS MILLS, MD 21117
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1949
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN0639
RAILROAD
DC
01
—
DO4272
RAILROAD
MD
Enumeration date
09/29/2006
Last updated
02/13/2017
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