Jacksonville Eye Care

NPI #1346678240 in Phoenix, Maryland

Provider Information

NPI Number: 1346678240
Entity Type: Organization
Organization Name: Jacksonville Eye Care
Primary Specialty: Optometrist
Enumeration Date: Oct 31, 2013
Last Updated: Oct 31, 2013

Practice Location

Address: 3332 PAPER MILL RD
City: Phoenix
State: Maryland
ZIP Code: 21131-1419
Phone: (410) 628-1510

Authorized Official

Name: MICHAEL DIFFENDALL, OD
Title: OWNER
Phone: (410) 628-1510

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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DR. Barry M Weiner, O.D.	Optometrist	Phoenix	AI Deep Dive
DR. Michael F Diffendall, OD	Optometrist	Phoenix	AI Deep Dive
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Organizations

Provider Name	Specialty	City
M. F. Diffendall Od PA	Optometrist	Phoenix	AI Deep Dive

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