Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | TA1092 | MD |
NPI | 1003011636 |
---|---|
Provider Name | Dr. James Smeriglio |
First Address | Vienna, VA 22182-3970 |
Second Address | Hunt Valley, MD 21030-1323 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2007 |
Last Update Date | 16/02/2021 |