Maryland Vision Institute
Ophthalmology in Frederick, MD. Organization (NPI-2).
NPI number1366081135
StatusActive
Last updated in NPPESDec 27, 2019
Details
- NPI
- 1366081135
- Entity type
- Organization (NPI-2)
- Legal business name
- Maryland Vision Institute
- Organization subpart
- No
- Enumeration date
- Dec 27, 2019
- Certification date
- Dec 27, 2019
- Last updated
- Dec 27, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
Practice location
470 W Patrick StFrederick, MD 21701-4858
Phone 301-668-2020
Mailing address
2002 Medical Pkwy Ste 320Annapolis, MD 21401-7901
Phone 410-571-8733
Authorized official
Augustus Graham Stern
MD
3017910888
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