Individual
DR. BARRY S EPHRAIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10518 CONNECTICUT AVE, KENSINGTON, MD 20895-2467
(301) 942-2221
(301) 942-6338
Mailing address
10518 CONNECTICUT AVE, KENSINGTON, MD 20895-2467
(301) 942-2221
(301) 942-6338
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0579
MD
152W00000X
Optometrist
DC0323
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016697700
—
DC
01
—
220249
MAMSI
DC
01
—
29410
SPECTERA
MD
01
—
29411
SPECTERA
DC
01
—
2984
DAVIS
DC
01
—
31984
DAVIS
MD
01
—
DC0323
EYEMED
DC
Enumeration date
10/17/2006
Last updated
01/18/2011
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