Provider Demographics
NPI:1932478716
Name:POLLAK, DAVID (OPTICIAN)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:POLLAK
Suffix:
Gender:M
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10101 COLESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20901-2426
Mailing Address - Country:US
Mailing Address - Phone:301-529-4335
Mailing Address - Fax:
Practice Address - Street 1:10101 COLESVILLE RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20901-2426
Practice Address - Country:US
Practice Address - Phone:301-529-4335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician