Organization
SUPREME EYE CARE LLC
Active
Other names
Eye Site
Organization subpart
No
Provider details
NPI number
Authorized official
OLUFUNSO IBRAHIM (OWNER)
(301) 979-9878
Entity
Organization
Contact information
Practice address
10631 GREENBELT RD STE 301, LANHAM, MD 20706-2282
(646) 220-9282
Mailing address
10631 GREENBELT RD # 301, LANHAM, MD 20706-2282
(301) 979-9878
(301) 979-9878
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
07/17/2024
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