Organization
PANOPTIC EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIFFANY KOON OD (OPTOMETRIST/CEO)
(410) 988-2662
Entity
Organization
Contact information
Practice address
1127 MD RT 3 N UNIT 104, GAMBRILLS, MD 21054-1715
(410) 988-2662
(410) 988-4553
Mailing address
1127 MD RT 3 N # 104, GAMBRILLS, MD 21054-1715
(410) 988-2662
(410) 988-4553
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/19/2018
Last updated
09/23/2019
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