Organization
COLUMBIA EYE ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER A COLEMAN O.D. (OWNER/OPTOMETRIST)
(240) 498-6768
Entity
Organization
Contact information
Practice address
10015 OLD COLUMBIA RD STE J135, COLUMBIA, MD 21046-1741
(410) 381-1688
(410) 381-3855
Mailing address
10015 OLD COLUMBIA RD STE J135, COLUMBIA, MD 21046-1741
(410) 381-1688
(410) 381-3855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41817
DAVIS VISION
MD
01
—
Y673-0002
BLUE CROSS BLUE SHIELD
MD
Enumeration date
02/27/2023
Last updated
02/27/2023
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