Organization
DR. JIL KLEIN - DELMARVA VISION ASSOC'S, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIL KLEIN O.D. (PRESIDENT)
(410) 334-3900
Entity
Organization
Contact information
Practice address
1504 S SALISBURY BLVD, SUITE #20, SALISBURY, MD 21801-7165
(410) 334-3900
(410) 334-3955
Mailing address
1504 S SALISBURY BLVD, SUITE #20, SALISBURY, MD 21801-7165
(410) 334-3900
(410) 334-3955
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TA1384
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3116528
UNITED HEALTH CARE
MD
01
—
546991-05
BC BS
MD
01
—
R5850001
BC BS FEDERAL
MD
Enumeration date
04/10/2007
Last updated
03/11/2009
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