Shady Grove Eye & Vision Care, LLC

NPI #1023103801 in Rockville, Maryland

Provider Information

NPI Number: 1023103801
Entity Type: Organization
Organization Name: Shady Grove Eye & Vision Care, LLC
Primary Specialty: Optometrist
Enumeration Date: Oct 4, 2006
Last Updated: Jul 31, 2024

Practice Location

Address: 15200 SHADY GROVE RD
Address 2: SUITE 100
City: Rockville
State: Maryland
ZIP Code: 20850-3218
Phone: (301) 670-1212

Authorized Official

Name: ALAN N GLAZIER, OD
Title: PRESIDENT
Phone: (301) 670-1212

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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