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Contact Information

KIMBERLY A DEUGWILLO, OPTOMETRIST
901 DULANEY VALLEY RD
SUITE 200
TOWSON, MD21204-2600
 Phone: 410-337-4500
 Fax: 410-339-7326
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for KIMBERLY A DEUGWILLO · (Female)

NPI Number 1750391579
Status Active
Credentials OPTOMETRIST
Entity Individual
Enumeration date 08/08/2006
Last updated 03/21/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MD License # TA2051
  • PA License # OEG001814
  • VA License # 0618001696
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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