Organization
DR. JIL KLEIN - OCEAN PINES VISION CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIL KLEIN O.D. (PRESIDENT)
(410) 208-4949
Entity
Organization
Contact information
Practice address
11002 MANKLIN MEADOW LANE, SUITE 6, OCEAN PINES, MD 21811
(410) 208-4949
(410) 208-4955
Mailing address
11002 MANKLIN MEADOW LANE, SUITE 6, OCEAN PINES, MD 21811
(410) 208-4949
(410) 208-4955
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TA1384
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116528
UNITED HEALTH CARE
MD
01
—
546991-06
BC BS
MD
01
—
G9150001
BC BS FEDERAL
MD
Enumeration date
04/12/2007
Last updated
09/13/2007
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