Doctor Name: | ELEANOR KIM MIN |
NPI Number: | 1033424791 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.D. |
License Number: | TA2300 |
Business Practice Address: | 1209 York Rd Suite 200 Lutherville, MD - 210936220 |
Business Phone Number: | 4108219490 |
Business Fax Number: | 4108219495 |
Mailing Address: | 1209 York Rd, Suite 200 LUTHERVILLE |
State: | MD |
Postal Code: | 210936220 |
Phone Number: | 4108219490 |
Fax Number: | 4108219495 |
NPI Enumeration Date: | 08/18/2010 |
NPI Last Update Date: | 07/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WP0200X |
License Number: | TA2300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |