Healthcare Provider Details
I. General information
NPI: 1437164183
Provider Name (Legal Business Name): ACCURATE OPTICAL CO INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/30/2006
Last Update Date: 09/28/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
31519 WINTERPLACE PARKWAY SUITE 2
SALISBURY MD
21804
US
IV. Provider business mailing address
31519 WINTERPLACE PARKWAY SUITE 2
SALISBURY MD
21804
US
V. Phone/Fax
- Phone: 410-749-1545
- Fax: 410-742-3707
- Phone: 410-749-1545
- Fax: 410-742-3707
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 152W00000X |
| Taxonomy | Optometrist |
| License Number | TA0672 |
| License Number State | MD |
VIII. Authorized Official
Name: MR.
STEPHEN
L
FRANKLIN
Title or Position: C EO
Credential:
Phone: 410-749-1545