Organization
CARL M WAXMAN OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL M WAXMAN O.D. (PRESIDENT)
(410) 857-0413
Entity
Organization
Contact information
Practice address
400 N CENTER ST, SEARS OPTICAL, WESTMINSTER, MD 21157-5140
(410) 857-0413
Mailing address
2200 ROGENE DR, BALTIMORE, MD 21209-3406
(410) 857-0413
(410) 857-3673
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0764
MD
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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