SearchMarylandOptometrist

Michael Diffendall, OD

NPI 1184667057 · on the registry since 2006

Practice

Address
3332 Paper Mill Rd
Phoenix, MD 21131
Phone
(410) 628-1510
Fax
(410) 628-1511
Organisation at this address
Jacksonville Eye Care
M. F. Diffendall Od Pa
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-10-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland