Organization
MITCHELLVILLE EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FRED SMITH (OWNER)
(301) 336-4040
Entity
Organization
Contact information
Practice address
10476 CAMPUS WAY S, LARGO, MD 20774-1304
(301) 336-4040
(301) 350-6690
Mailing address
10476 CAMPUS WAY S, LARGO, MD 20774-1304
(301) 336-4040
(301) 350-6690
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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