Organization
VISIONARY EYE CARE, L.L.C.
Active
Other names
Visionary Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN M. GRANEK O.D. (PRESIDENT)
(410) 363-0060
Entity
Organization
Contact information
Practice address
10995 OWINGS MILLS BLVD, SUITE 204, OWINGS MILLS, MD 21117-1030
(410) 363-0060
(410) 363-0911
Mailing address
10995 OWINGS MILLS BLVD, SUITE 204, OWINGS MILLS, MD 21117-1030
(410) 363-0060
(410) 363-0911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA-1751
MD
152WC0802X
Corneal and Contact Management Optometrist
TA-1751
MD
Other
Enumeration date
08/14/2012
Last updated
03/21/2013
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