Organization
FIRST SIGHT VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NUTAPORN SUKONTASUP O.D. (OWNER/PRINCIPAL)
(443) 804-1173
Entity
Organization
Contact information
Practice address
8160 MAPLE LAWN BLVD, SUITE 140, FULTON, MD 20759
(443) 804-1173
Mailing address
8315 ACADEMY RD, ELLICOTT CITY, MD 21043-6687
(443) 804-1173
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
MD
Other
Enumeration date
09/19/2012
Last updated
11/02/2012
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