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Organization

PARRIS-CASTORO OPTICAL CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY JO O'CONNELL (ADMINISTRATOR)
(410) 399-8451
Entity
Organization

Contact information

Practice address
620 BOULTON ST, BEL AIR, MD 21014-4255
(410) 893-1855
(410) 893-9796
Mailing address
620 BOULTON ST, BEL AIR, MD 21014-4255
(410) 893-1855
(410) 893-9796

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
12293235
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
XY82
BLUE SHIELD PIN NUMBER
Enumeration date
01/13/2006
Last updated
06/20/2008
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