Provider Demographics
NPI:1730447160
Name:LUXOPTICS LLP
Entity type:Organization
Organization Name:LUXOPTICS LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:NMN
Authorized Official - Last Name:BOJARSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:301-986-6999
Mailing Address - Street 1:21 WISCONSIN CIR
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7001
Mailing Address - Country:US
Mailing Address - Phone:301-986-6999
Mailing Address - Fax:301-986-6991
Practice Address - Street 1:21 WISCONSIN CIR
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7001
Practice Address - Country:US
Practice Address - Phone:301-986-6999
Practice Address - Fax:301-986-6991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDA0642152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty