Organization
ALLEGANY OPTICAL LLC
Active
Other names
ALLEGANY OPTICAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK M FLEMING O.D. (O.D. / MANAGING MEMBER)
(304) 267-9911
Entity
Organization
Contact information
Practice address
5500 BUCKEYSTOWN PIKE, STE. 876, FREDERICK, MD 21703-8331
(301) 663-4745
(301) 293-0256
Mailing address
5500 BUCKEYSTOWN PIKE, STE. 876, FREDERICK, MD 21703-8331
(301) 663-4745
(301) 293-0256
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10010880
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0550035-00,03
—
MD
01
—
LM13AL
CAREFIRST
MD
Enumeration date
11/01/2007
Last updated
11/01/2007
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