# MARYLAND VISION INSTITUTE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366081135
- **Authorized official:** AUGUSTUS GRAHAM STERN (MD)
- **Authorized official phone:** (301) 791-0888

## Contact information

- **Practice address:** 470 W PATRICK ST, FREDERICK, MD 21701-4858
- **Practice address phone:** (301) 668-2020
- **Mailing address:** 2002 MEDICAL PKWY STE 320, ANNAPOLIS, MD 21401-7901
- **Mailing address phone:** (410) 571-8733

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/27/2019
- **Last updated:** 12/27/2019