Organization
ALLEGANY OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES J WHITELOCK O.D. (O.D. / MANAGING MEMBER)
(717) 263-2389
Entity
Organization
Contact information
Practice address
1305 W 7TH ST, STE. 15A, FREDERICK, MD 21702-4100
(301) 695-4855
(301) 695-4870
Mailing address
1305 W 7TH ST, STE. 15A, FREDERICK, MD 21702-4100
(301) 695-4855
(301) 695-4870
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10236876
MD
Other
Enumeration date
08/24/2007
Last updated
08/24/2007
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