Organization
ED OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AYODELE O DAYISI DISPENSING OPTICIAN (PRESIDENT/ CEO)
(301) 885-0016
Entity
Organization
Contact information
Practice address
3370 LEONARDTOWN RD, SUITE 232, WALDORF, MD 20601-3624
(301) 885-0016
(206) 600-4463
Mailing address
3370 LEONARDTOWN RD, SUITE 232, WALDORF, MD 20601-3624
(301) 885-0016
(206) 600-4463
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/13/2009
Last updated
10/07/2010
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