Canton Vision Center, Inc.

NPI #1992899967 in Baltimore, Maryland

Provider Information

NPI Number: 1992899967
Entity Type: Organization
Organization Name: Canton Vision Center, Inc.
Primary Specialty: Optometrist
Enumeration Date: Oct 3, 2006
Last Updated: Apr 14, 2015

Practice Location

Address: 3221 ODONNELL ST
City: Baltimore
State: Maryland
ZIP Code: 21224-5040
Phone: (410) 534-2015

Authorized Official

Name: DR. RYAN QUENTIN BEVERIDGE, O.D.
Title: OPTOMETRIST
Phone: (410) 534-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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