# MARYLAND VISION CENTER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Maryland Eye Center, P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013260025
- **Authorized official:** SUNIL THADANI MD (OWNER)
- **Authorized official phone:** (240) 575-9580

## Contact information

- **Practice address:** 5205 CHAIRMANS CT STE 202, FREDERICK, MD 21703-2918
- **Practice address phone:** (240) 575-9580
- **Mailing address:** 5205 CHAIRMANS CT STE 202, FREDERICK, MD 21703-2918
- **Mailing address phone:** (240) 575-9580
- **Mailing address fax:** (240) 457-4939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | D0070611 | MD | Yes |

## Other

- **Enumeration date:** 10/16/2012
- **Last updated:** 07/25/2024