Organization
COLONIAL OPTICIANS OF POOLESVILLE INC.
Active
Other names
Colonial Opticians Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN MELISSA WILLIAMS (PRESIDENT)
(301) 657-3332
Entity
Organization
Contact information
Practice address
718 CENTER POINT WAY, GAITHERSBURG, MD 20878-6469
(301) 990-0398
(303) 990-9486
Mailing address
718 CENTER POINT WAY, GAITHERSBURG, MD 20878-6469
(301) 990-0398
(303) 990-9486
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
332BC3200X
Customized Equipment (DME)
Primary
15302753
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP0914
EYEMED
MD
01
—
OP0914
EYEMED
—
Enumeration date
05/16/2008
Last updated
09/11/2020
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