IndividualActive
John Scott
NPI 1396463279 · Technician/Technologist · Elkridge, MD
Provider details
- NPI number
- 1396463279
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 591466 (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
7377 Washington Blvd Bldg Ste 101
Elkridge, MD 21075-6360
Phone: (410) 379-3051
Approximate (ZIP-level) locationGet directions
Mailing address
711 Merritt St
River Oaks, TX 76114-2939
Registry dates
- Enumerated
- 2022-08-17
- Last updated
- 2022-08-17
- Certified
- 2022-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.