NPI 1720565641 · live from the CMS NPI Registry
Sean Gretz, OD
Optometrist in Easton, MD. National Provider Identifier 1720565641, active.
NPI record
| NPI | 1720565641 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 210 Marlboro Ave Ste 31, Easton, MD 21601 |
| Practice phone | 410-822-3937 |
| Mailing address | 8614 Westwood Center Dr Fl 9, Vienna, VA 22182 |
| Enumerated | July 24, 2018 |
| Last updated | June 27, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | OEG003439 (PA) |
| Optometrist | 152W00000X | I3-0001417 (DE) |
| Optometrist primary | 152W00000X | TA3006 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.