Organization
EAGLE EYE CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED JEFFREY SIROTKIN O.D. (OWNER-OPTOMETRIST)
(410) 964-8516
Entity
Organization
Contact information
Practice address
6350 STEVENS FOREST RD, SUITE 101, COLUMBIA, MD 21046-3231
(410) 964-8516
(410) 740-8626
Mailing address
6350 STEVENS FOREST RD, SUITE 101, COLUMBIA, MD 21046-3231
(410) 964-8516
(410) 740-8626
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
TA 0870
MD
Other
Enumeration date
02/09/2007
Last updated
04/16/2010
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