Organization
GLOBAL COMPLEX EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ELLINGSWORTH CPO (ADMINISTRATOR)
(410) 660-2646
Entity
Organization
Contact information
Practice address
2219 YORK ROAD, SUITE 100, TIMONIUM, MD 21093-3140
(410) 660-2646
Mailing address
2219 YORK ROAD, SUITE 100, TIMONIUM, MD 21093-3140
(410) 660-2646
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
Other
Enumeration date
10/09/2014
Last updated
03/02/2016
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