Organization
PERSONALEYES LLC
Active
Other names
Ideal Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM ZUCKERBROD OD (OWNER)
(410) 864-2526
Entity
Organization
Contact information
Practice address
1860 REISTERSTOWN RD STE B, BALTIMORE, MD 21208-1335
(410) 428-4182
Mailing address
2529 FARRINGDON RD, BALTIMORE, MD 21209-2547
(410) 428-4182
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
152WP0200X
Pediatric Optometrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210933600
—
MD
Enumeration date
07/12/2022
Last updated
12/09/2024
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