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NPI 1306996269

IndividualActive

Bruce Lazerow, B.A., B.S., O.D.

NPI 1306996269 · Optometrist · Potomac, MD

Provider details

NPI number: 1306996269
Entity type: Individual
Primary specialty: OptometristEye and Vision Services Providers
Credential: B.A., B.S., O.D.
Sex: Male
Sole proprietor: Yes
License: DA-0688 (MD)

Practice location

2612 Oakenshield Dr

Potomac, MD 20854-2928

Phone: (301) 340-7674

Fax: (301) 593-7006

More MD providers

Mailing address

2612 Oakenshield Dr

Potomac, MD 20854-2928

Registry dates

Enumerated: 2007-01-11
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bruce Lazerow, B.A., B.S., O.D. — NPI 1306996269, Potomac, MD | NPI Central