Organization
ALLEGANY OPTICAL LLC
Active
Other names
Allegany Optical National Optometry Allegany Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK MILLS FLEMING OD (OD / MANAGING MEMBER)
(304) 267-9911
Entity
Organization
Contact information
Practice address
12916 CONAMAR DR, STE. 104, HAGERSTOWN, MD 21742-2760
(301) 733-4944
(301) 733-5220
Mailing address
19336 LEITERSBURG PIKE, HAGERSTOWN, MD 21742-1436
(301) 582-0675
(301) 582-3293
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
21237249
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ5438
RAILROAD MEDICARE
MD
01
—
LM13
CAREFIRST
—
Enumeration date
11/01/2006
Last updated
11/21/2007
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