Organization
CANTON VISION CENTER, INC.
Active
Other names
Canton Vision Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN QUENTIN BEVERIDGE O.D. (OPTOMETRIST)
(410) 534-2015
Entity
Organization
Contact information
Practice address
3221 ODONNELL ST, BALTIMORE, MD 21224-5040
(410) 534-2015
(410) 534-2019
Mailing address
3221 ODONNELL ST, BALTIMORE, MD 21224-5040
(410) 534-2015
(410) 534-2019
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA 1553
MD
Other
Enumeration date
10/03/2006
Last updated
04/14/2015
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