Organization
OPTILENS VISION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK KEITH KELLY OPTICIAN (OWNER)
(410) 446-4386
Entity
Organization
Contact information
Practice address
1490 W PATAPSCO AVE STE E, BALTIMORE, MD 21230-3400
(410) 355-6900
(410) 355-6910
Mailing address
1490 W PATAPSCO AVE STE E, BALTIMORE, MD 21230-3400
(410) 355-6900
(410) 355-6910
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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