Organization
PENNYE DOUD & ASSOCIATES, PC
Active
Other names
Annapolis Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE D BROWN (MANAGER)
(410) 266-0099
Entity
Organization
Contact information
Practice address
130 HOLIDAY CT, STE 109, ANNAPOLIS, MD 21401-7003
(410) 266-0099
(410) 266-8629
Mailing address
130 HOLIDAY CT, STE 109, ANNAPOLIS, MD 21401-7003
(410) 266-0099
(410) 266-8629
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1038
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW79
BCBS GROUP
MD
Enumeration date
06/08/2007
Last updated
08/22/2020
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