Clarksburg Eye Care, LLC

NPI #1912345471 in Clarksburg, Maryland

Provider Information

NPI Number: 1912345471
Entity Type: Organization
Organization Name: Clarksburg Eye Care, LLC
Primary Specialty: Optometrist
Enumeration Date: Jun 6, 2013
Last Updated: Jun 6, 2013

Practice Location

Address: 23202 BREWERS TAVERN WAY
City: Clarksburg
State: Maryland
ZIP Code: 20871-4391
Phone: (301) 972-3937

Authorized Official

Name: DR. IRVING GAN, O.D.
Title: OWNER
Phone: (301) 972-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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