Organization
PREMIER EYE CARE CENTER LLC
Active
Other names
Premier Eye Care Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ESEOSA OMORUYI (OWNER)
(301) 218-1862
Entity
Organization
Contact information
Practice address
12164 CENTRAL AVE STE 220, BOWIE, MD 20721-1903
(301) 218-1862
Mailing address
12164 CENTRAL AVE STE 220, BOWIE, MD 20721-1903
(301) 218-1862
(301) 218-1864
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA 2181
MD
Other
Enumeration date
04/23/2012
Last updated
04/16/2021
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