Individual
DR. JODI KOLLIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2955 CRAIN HWY, SUITE A&B, WALDORF, MD 20601-2810
(301) 843-1000
(301) 843-1919
Mailing address
2955 CRAIN HWY, SUITE A&B, WALDORF, MD 20601-2810
(301) 843-1000
(301) 843-1919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001486
VA
152W00000X
Optometrist
OP1000106
DC
152W00000X
Optometrist
Primary
TA1954
MD
Other
Enumeration date
07/06/2006
Last updated
10/25/2007
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