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NPI Code Detail

MEDICARE: MR. DAVID POLLAK OPTICIAN

MEDICARE: MR. DAVID POLLAK OPTICIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician

General Provider Information

NPI Number : 1932478716
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID POLLAK OPTICIAN
Provider Business Mailing Address
First Line : 10101 COLESVILLE RD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-2426
Country : US
Telephone Number : 301-529-4335
Fax Number :
Provider Business Practice Location Address
First Line : 10101 COLESVILLE RD
Second Line :
City : SILVER SPRING
State : MD
Zip : 20901-2426
Country : US
Telephone Number : 301-529-4335
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2011
Last Update Date : 12/22/2011

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Directions to “ MR. DAVID POLLAK OPTICIAN” Practice Location

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