Provider Demographics
NPI:1710083258
Name:SERVINSKY, MARIA SKLAVOS (OD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:SKLAVOS
Last Name:SERVINSKY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17001 SCIENCE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-4330
Mailing Address - Country:US
Mailing Address - Phone:301-860-1090
Mailing Address - Fax:301-860-1095
Practice Address - Street 1:17001 SCIENCE DR
Practice Address - Street 2:SUITE 120
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-4329
Practice Address - Country:US
Practice Address - Phone:301-860-7090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1891152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist