| Peas LLC | |
|
3272 Bennett Creek Ave Unit B Frederick MD 21704-7653 | |
| (301) 732-7988 | |
| (301) 732-7881 |
| Full Name | Peas LLC |
|---|---|
| Speciality | Optometrist - Pediatrics |
| Location | 3272 Bennett Creek Ave Unit B, Frederick, Maryland |
| Authorized Official Name and Position | Ashley Wong (OPTOMETRIST) |
| Authorized Official Contact | 3013852840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peas LLC 9308 Bishopgate Dr Frederick MD 21704-7356 Ph: (301) 385-2840 | Peas LLC 3272 Bennett Creek Ave Unit B Frederick MD 21704-7653 Ph: (301) 732-7988 |
| NPI Number | 1740856798 |
|---|---|
| Provider Enumeration Date | 06/01/2021 |
| Last Update Date | 06/01/2021 |
| Certification Date | 04/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740856798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | () | Secondary |
| 152WP0200X | Optometrist - Pediatrics | () | Primary |
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