National Provider Identifier Database

COLONIAL OPTICIANS OF POOLESVILLE INC
Customized Equipment


Contact Information

COLONIAL OPTICIANS OF POOLESVILLE INC.
718 CENTER POINT WAY
GAITHERSBURG, MD20878-6469
Phone: 301-990-0398
Fax: 303-990-9486
Website:
Specialty Taxonomy Code
* Customized Equipment 332BC3200X
Clinic/Center 261Q00000X

* Indicates primary specialty

NPI Profile & details for COLONIAL OPTICIANS OF POOLESVILLE INC.

NPI Number 1912164070
Legal business name
LBN
COLONIAL OPTICIANS OF POOLESVILLE INC.
Authorized official KAREN WILLIAMS - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/16/2008
Last updated 09/11/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MD License #: 15302753
  • Other: OP0914 EYEMED
  • MD Other: OP0914 EYEMED

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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