| Organization Name: | WHEELER'S OPTICAL INC. |
| NPI Number: | 1144260662 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAURICE R WHEELER (OWNER/OPTICIAN) |
| Mailing Address: | 263 N Pennsylvania Ave Hancock |
| State: | MD US |
| Postal Code: | 217501042 |
| Phone Number: | 3016786993 |
| Fax Number: | 3016786434 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 12/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 15715 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |