Organization

Leisure World Opticians, Inc.

Legal Business Name

Leisure World Opticians, Inc.

NPI Number

1043330376

NPI Type

Organization

Enumeration Date

03/30/2007

Specialties

(Taxonomies)

Code

156FX1800X
152W00000X

Primary Taxonomy

No
No

Licenses

State

Maryland

License Number

TA0893

Contact
Information

Purpose

Mailing
Location

Address

3804 INTERNATIONAL DR
3804 INTERNATIONAL DR

City

Silver Spring
Silver Spring

State

MD
MD

Postal Code

20906-1548
20906-1548

Country

US
US

Telephone Number

(301) 598-4614
(301) 598-4614

Authorized Official

Name

Dr. Michael Robin

Title or Position

VICE PRESIDENT

Telephone Number

(301) 598-4614

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address