Individual
ROBERT R MITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
506 N CENTRE ST, CUMBERLAND, MD 21502-2103
(301) 722-6480
(301) 722-6297
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA0730
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
409BEY
BLUE CROSS BLUE SHIELD
MD
05
—
76344800
—
MD
Enumeration date
08/16/2005
Last updated
01/31/2018
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