Mesheca Carter Bunyon O.D.

NPI 1417080102 - Optometrist - 152W00000X

NPI Details
NPI 1417080102
Gender Female
Enumeration Date 03/13/2007
Last Updated 01/23/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
6104 OLD BRANCH AVE
CAMP SPRINGS MEDICAL CENTER
TEMPLE HILLS MD, 20748-2518, US
Phone (301) 702-6100
Fax
Business Location
2101 E JEFFERSON ST
KAISER PERMANENTE MEDICARE ENROLLMENT
ROCKVILLE MD, 20852-4908, US
Phone (301) 816-2424
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Maryland
License Number TA1594
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According to our database, Dr. Mesheca Carter Bunyon O.D. NPI is 1417080102, taxonomy code is 152W00000X and license number is TA1594, license state is located at Maryland. Mesheca Carter Bunyon O.D. physically located at 6104 Old Branch Ave, Temple Hills MD, 20748-2518. NPI Number Mesheca Carter Bunyon O.D. has the Individual type.

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1417080102 NPI number is provided on an as is basis without warranty of any kind. 1417080102 is maintained by the National Plan & Provider Enumeration System. The contents of Mesheca Carter Bunyon O.D. are for informational purposes only.