Organization
STERLING OPTICAL 335
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANNE KATILUS (CREDENTIALING SPECIALIST)
(646) 448-3323
Entity
Organization
Contact information
Practice address
2495 ANNAPOLIS MALL, ANNAPOLIS, MD 21401-7613
(410) 266-9171
Mailing address
2495 ANNAPOLIS MALL, ANNAPOLIS, MD 21401-7613
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
03/02/2012
Last updated
03/05/2012
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