Organization
ERIC JAN, O.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC JAN OD (OWNER)
(301) 996-7806
Entity
Organization
Contact information
Practice address
14008 GLEN MILL RD, ROCKVILLE, MD 20850-3427
(301) 996-7806
Mailing address
14008 GLEN MILL RD, ROCKVILLE, MD 20850-3427
(301) 996-7806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2152
MD
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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