Organization
JONES PEMBROOKE OPTICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN KISTLER WARD (OWNER/OPTICIAN)
(301) 645-6822
Entity
Organization
Contact information
Practice address
11355 PEMBROOKE SQ, SUITE 106, WALDORF, MD 20603-4805
(301) 645-6822
(301) 705-8785
Mailing address
11355 PEMBROOKE SQ, SUITE 106, WALDORF, MD 20603-4805
(301) 645-6822
(301) 705-8785
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
07/24/2007
Last updated
05/15/2008
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