Organization
VISION 2020
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA PARKS (BILLING MANAGER)
(517) 231-4086
Entity
Organization
Contact information
Practice address
12818 SHANK FARM WAY STE G, HAGERSTOWN, MD 21742-2951
(301) 797-3030
(301) 797-5471
Mailing address
1009 W CENTRAL ST, ELKINS, WV 26241-3244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
02/11/2025
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