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
17301 VALLEY MALL RD, HAGERSTOWN, MD 21740-6966
(301) 582-1771
(301) 582-4681
Mailing address
17301 VALLEY MALL RD, HAGERSTOWN, MD 21740-6966
(301) 582-1771
(301) 582-4681
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
09135972
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0550035-00,01
—
MD
01
—
CJ5438
RAILROAD MEDICARE
MD
01
—
LM13AL
CAREFIRST BC / BS
MD
Enumeration date
11/13/2007
Last updated
11/13/2007
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