Dr. Lance Mcnaughton O.D., PH.D.
Optometrist in Jb Andrews, MD(View on Map)
Full Name
Dr. Lance Mcnaughton O.D., PH.D.
NPI Number
1003940453
NPI Type
Individual Provider
Gender
Male
Enumeration Date
03/16/2007
Specialties
(Taxonomies)Code
152W00000X
152WC0802X
Primary Taxonomy
Yes
No
Licenses
State
California
California
District Of Columbia
Maryland
Virginia
License Number
13892T
OPT13892TPA
OP2000527
TA2019
0618001819
Contact
Information
Purpose
Mailing
Location
Address
79 POTOMAC AVE SE APT 916
1811 G ST
City
Washington
Jb Andrews
State
DC
MD
Postal Code
20003-3746
20762-5677
Country
US
US
Telephone Number
(714) 272-7480
(301) 735-1393
Identifiers
Identifier
CX089Z
Identifier State
CA
Identifier Issuer
MEDICARE PTAN
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/24/2022