Individual
DR. JEFFREY P MAINOLFI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1000 EAST PULASKI WAY, ELKTON, MD 21921
(410) 620-5251
(410) 620-5307
Mailing address
59 PELHAMDALE CIR, ELKTON, MD 21921-6389
(410) 937-1124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA 1370
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49888000
DAVIS
MD
01
—
54427104
CAREFIRST BCBSMD
MD
01
—
MD1370
EYEMED
MD
01
—
T6180005
CFBCBS NASCO
MD
Enumeration date
09/06/2006
Last updated
06/12/2023
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