Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

M. F. Diffendall OD PA

Organization Optometrist · NPI 1194074476

M. F. Diffendall OD PA is an Optometrist in Phoenix, Maryland. Licensed in Maryland. Registered with an NPI since 2012.

Licensed in
MD
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3332 Paper Mill Rd
Phoenix, MD 21131-1419
Phone: (410) 628-1510
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TA1372 (MD)

Record details

NPI number1194074476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Diffendall — Owner · (410) 628-1510
Other names Jacksonville Eye Care
NPI enumeratedSeptember 2, 2012
Last updated in NPPESNovember 14, 2013
Mailing address3332 Paper Mill Rd, Phoenix, MD 21131-1419

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