Individual
DR. CHARLES MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
220 MARLBORO AVE, TRED AVON SQUARE, EASTON, MD 21601-2729
(410) 822-8686
(410) 822-7853
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0823
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
556909500
—
MD
Enumeration date
11/01/2006
Last updated
02/10/2022
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