Healthcare Provider Details

I. General information

NPI: 1851473805
Provider Name (Legal Business Name): HOUR EYES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 08/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11110 MALL CIRCLE
WALDORF MD
20603
US

IV. Provider business mailing address

PO BOX 842375
DALLAS TX
75284-2375
US

V. Phone/Fax

Practice location:
  • Phone: 301-705-8383
  • Fax: 301-705-8388
Mailing address:
  • Phone: 210-524-6663
  • Fax: 210-524-6587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DAN POTH
Title or Position: OWNER
Credential: O.D.
Phone: 703-288-1978