| Carolyn V Ormes Od Llc | |
|
15 E Potomac St Brunswick MD 21716-1409 | |
| (301) 834-6400 | |
| (301) 834-7585 |
| Full Name | Carolyn V Ormes Od Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 E Potomac St, Brunswick, Maryland |
| Authorized Official Name and Position | Carolyn V Ormes (OWNER) |
| Authorized Official Contact | 3018346400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn V Ormes Od Llc 15 E Potomac St Brunswick MD 21716-1409 Ph: (301) 834-6400 | Carolyn V Ormes Od Llc 15 E Potomac St Brunswick MD 21716-1409 Ph: (301) 834-6400 |
| NPI Number | 1073905931 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 03/02/2015 |
| Medicare PECOS PAC ID | 7911225792 |
|---|---|
| Medicare Enrollment ID | O20150407000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073905931 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | TA-2288 (Maryland) | Primary |
| Provider Name | Carolyn Verner Ormes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588843080 PECOS PAC ID: 1557433067 Enrollment ID: I20150407000558 |
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