Organization
MARYLAND VISION INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AUGUSTUS G STERN M.D. (OWNER)
(504) 723-0673
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
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Enumeration date
11/15/2012
Last updated
02/10/2015
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