Individual
DR. JOHN CHRISTOPHER MINARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10810 CONNECTICUT AVE, KENSINGTON, MD 20895-2138
(301) 929-7434
(301) 929-7024
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618000579
VA
152W00000X
Optometrist
OP577
DC
152W00000X
Optometrist
Primary
TA1030
MD
Other
Enumeration date
12/12/2006
Last updated
12/06/2012
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