Organization
PLATINUM EYES
Active
Other names
Plattinum Eyes
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL A SMITH OD (OPTOMETRIST)
(301) 863-6950
Entity
Organization
Contact information
Practice address
45315 ALTON LN, SUITE 16038, CALIFORNIA, MD 20619
(301) 863-6950
(301) 863-6954
Mailing address
45315 ALTON LN, SUITE 16038, CALIFORNIA, MD 20619
(301) 863-6950
(301) 863-6954
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
18272823
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1920928
—
MD
Enumeration date
07/12/2007
Last updated
09/13/2022
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