Organization
OPTICAL INDUSTRIES
Active
Other names
Ashburton Opticians, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE' H. SMITH (PRESIDENT/OPTICIAN)
(410) 664-9436
Entity
Organization
Contact information
Practice address
3020 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21215-7442
(410) 664-9436
(443) 524-2302
Mailing address
3020 LIBERTY HEIGHTS AVE, BALTIMORE, MD 21215-7442
(410) 664-9436
(443) 524-2302
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
30291298
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54860701
CAREFIRST BC BS
MD
Enumeration date
09/24/2007
Last updated
11/29/2007
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