Organization
20/20 RETAIL MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE W DEVLYN JR. (OWNER)
(512) 308-6257
Entity
Organization
Contact information
Practice address
15100 BALTIMORE AVE, LAUREL, MD 20707-4602
(301) 985-2585
Mailing address
2600 MCHALE CT STE 180, AUSTIN, TX 78758-4469
(512) 308-6257
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/06/2017
Last updated
03/17/2018
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