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Organization

POLAND EYE CARE ASSOCIATES, PA

Active
Other names
Lifetime Eyecare Center
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY ALAN POLAND OD (OWNER)
(301) 777-7777
Entity
Organization

Contact information

Practice address
2 FREDERICK ST, CUMBERLAND, MD 21502-2329
(301) 777-7777
(301) 777-7798
Mailing address
2 FREDERICK ST, CUMBERLAND, MD 21502-2329
(301) 777-7777
(301) 777-7798

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
438848800
MD
01
LV23LI
CAREFIRSTBCBS
MD
Enumeration date
08/10/2005
Last updated
12/15/2019
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