Organization
MONTGOMERY VILLAGE EYECARE ASSOCIATES, INC.
Active
Other names
Dr. Matthew E. Brodak & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW EDWARD BRODAK O.D. (OWNER)
(301) 330-4265
Entity
Organization
Contact information
Practice address
9673 LOST KNIFE RD, GAITHERSBURG, MD 20877-2622
(301) 330-4265
(301) 963-4508
Mailing address
9673 LOST KNIFE RD, GAITHERSBURG, MD 20877-2622
(301) 330-4265
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
TA1115
MD
Other
Enumeration date
08/24/2011
Last updated
05/02/2019
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