Organization
CHESAPEAKE BAY OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA D BRUTHER (COOWNER)
(410) 841-1909
Entity
Organization
Contact information
Practice address
2003 MEDICAL PKWY, SUITE G90, ANNAPOLIS, MD 21401-7992
(410) 841-1909
(410) 571-8624
Mailing address
2003 MEDICAL PKWY, SUITE G90, ANNAPOLIS, MD 21401-7992
(410) 841-1909
(410) 571-8624
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
02526333
MD
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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