Provider Demographics
NPI:1588843080
Name:ORMES, CAROLYN V (OD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:V
Last Name:ORMES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:15 E POTOMAC ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:MD
Mailing Address - Zip Code:21716-1409
Mailing Address - Country:US
Mailing Address - Phone:301-834-6400
Mailing Address - Fax:301-834-7585
Practice Address - Street 1:15 E POTOMAC ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:MD
Practice Address - Zip Code:21716-1409
Practice Address - Country:US
Practice Address - Phone:301-834-6400
Practice Address - Fax:301-834-7585
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001677152W00000X
MDTA-2288152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist