Organization
IVAN H GARCIA MD PC
Active
Other names
Omni Eye Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD JOHN WASLOSKI O.D. (FOUNDING MEMBER)
(410) 281-2656
Entity
Organization
Contact information
Practice address
2925 LORD BALTIMORE DR., SUITE 300, BALTIMORE, MD 21244-2566
(410) 277-3937
(410) 281-9388
Mailing address
2925 LORD BALTIMORE DR., SUITE 300, BALTIMORE, MD 21244-2566
(410) 277-3937
(410) 281-9388
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
174400000X
Specialist
Primary
—
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078561000
—
MD
05
—
4125061000
—
MD
Enumeration date
07/01/2006
Last updated
07/21/2022
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