Organization
MARYLAND VISION INSTITUTE, LLC
Active
Other names
MARYLAND VISION INSTITUTE OPTICIANS
Organization subpart
No
Provider details
NPI number
Authorized official
KARA VITTETOE (PRACTICE ADMINISTRATOR)
(301) 791-0888
Entity
Organization
Contact information
Practice address
220 CHAMPION DR, SUITE 100, HAGERSTOWN, MD 21740-6558
(301) 791-0888
(301) 791-3611
Mailing address
220 CHAMPION DR, SUITE 100, HAGERSTOWN, MD 21740-6558
(301) 791-0888
(301) 791-3611
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6503039
—
MD
Enumeration date
08/04/2014
Last updated
09/12/2017
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