| Organization Name: | EYE CARE AND SURGICAL CENTER OF LAUREL PC |
| NPI Number: | 1386756161 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN P GRUNDY (OWNER) |
| Mailing Address: | 615 Main St Laurel |
| State: | MD US |
| Postal Code: | 207074065 |
| Phone Number: | 3017253010 |
| Fax Number: | 3017253271 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 02/24/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | D52388 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |