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
Update your record
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