Organization
MARYLAND VISION INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA M VITTETOE (ADMINISTRATOR)
(301) 791-0888
Entity
Organization
Contact information
Practice address
220 CHAMPION DR, SUITE 100, HAGERSTOWN, MD 21740-6665
(301) 791-0888
(301) 791-3611
Mailing address
220 CHAMPION DR, SUITE 100, HAGERSTOWN, MD 21740-6665
(301) 791-0888
(301) 791-3611
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2461
MD
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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