Organization
D & G EYE ASSOCIATES, LLC
Active
Other names
Tidewater Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
AIDIN DEAN GOGERDCHI OD (OWNER)
(410) 562-6636
Entity
Organization
Contact information
Practice address
137 MITCHELLS CHANCE RD STE 120, EDGEWATER, MD 21037-2793
(410) 956-2200
Mailing address
137 MITCHELLS CHANCE RD STE 120, EDGEWATER, MD 21037-2793
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2312
MD
152WC0802X
Corneal and Contact Management Optometrist
TA2312
MD
152WP0200X
Pediatric Optometrist
TA2312
MD
Other
Enumeration date
02/14/2018
Last updated
02/14/2018
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