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Individual

SEAN GRETZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
210 MARLBORO AVE STE 31, EASTON, MD 21601-2767
(410) 822-3937
(410) 822-2652
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
I3-0001417
DE
152W00000X
Optometrist
OEG003439
PA
152W00000X
Optometrist
Primary
TA3006
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
I3-0001417
THERAPEUTIC OPTOMETRY
DE
01
OEG003439
LICENSE
PA
Enumeration date
07/24/2018
Last updated
06/27/2024
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