Chesapeake Bay Optical LLC

NPI #1235493396 in Annapolis, Maryland

Provider Information

NPI Number: 1235493396
Entity Type: Organization
Organization Name: Chesapeake Bay Optical LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Jul 3, 2012
Last Updated: Jul 3, 2012

Practice Location

Address: 2003 MEDICAL PKWY
Address 2: SUITE G90
City: Annapolis
State: Maryland
ZIP Code: 21401-7992
Phone: (410) 841-1909

Authorized Official

Name: SANDRA D BRUTHER
Title: COOWNER
Phone: (410) 841-1909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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