institution
Eye Restoration Clinic Inc.
Customized Equipment (DME) in Upper Marlboro, Maryland
NPI 1174668693

Eye Restoration Clinic Inc. is a Customized Equipment (DME) based in Upper Marlboro, MD and is specialized in Customized Equipment. Eye Restoration Clinic Inc. practices in Upper Marlboro, MD. The NPI Number for Eye Restoration Clinic Inc. is 1174668693 and holds a License No. 3853 (Maryland).

The current practice location address for Eye Restoration Clinic Inc. is 9450 Pennsylvania Ave, Upper Marlboro, MD and can be reached out via phone at 301-599-6300 and via fax at 301-599-0578.

Location: 9450 Pennsylvania Ave, Upper Marlboro, MD, 20772-3665
institution
Provider Profile Details
NPI Number
1174668693
Provider Name
Eye Restoration Clinic Inc.
Credential
Provider Entity Type
Organization
Address
9450 Pennsylvania Ave, Upper Marlboro, MD, 20772-3665
Phone Number
301-599-6300
Fax Number
301-599-0578
Provider Enumeration Date
02/21/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30877 01 MD KAISER PERMANANTE
406540466 01 DC MEDICARE RR
023053600 05 DC
468228900 05 MD
institution
Provider Business Practice Location Address Details
Address
9450 Pennsylvania Ave
City
State
Zip
20772-3665
Phone Number
301-599-6300
Fax Number
301-599-0578
person
Provider Business Mailing Address Details
Address
9450 Pennsylvania Ave
City
State
Zip
20772-3665
Phone Number
301-599-6300
Fax Number
301-599-0578
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ocularist
Taxonomy
License No.
(Maryland)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Customized Equipment
Taxonomy
License No.
3853 (Maryland)
Definition
Definition to come...
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