MARYLAND VISION INSTITUTE, LLC


Address: 220 Champion Dr, Suite 100, Hagerstown, MD 21740-6558
Phone: 3017910888

MARYLAND VISION INSTITUTE, LLC (NPI# 1528473246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528473246
Entity Type Organization
Organization Name MARYLAND VISION INSTITUTE, LLC
Other Organization Name MARYLAND VISION INSTITUTE OPTICAL
Practice Address 220 Champion Dr
Suite 100
Hagerstown
MD 21740-6558
Practice Telephone 3017910888
Practice Fax Number 3017913611
Mailing Telephone 3017910888
Mailing Fax Number 3017913611
Enumeration Date 2014-06-23
Last Update Date 2014-09-24
Authorized Official Name AUGUSTUS STERN (OWNER)
Authorized Official Telephone 3017910888
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers

Other Provider/Organization Names

Other Name Type Code
Maryland Vision Institute Optical Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1689058323 Maryland Vision Institute, LLC Optometrist 220 Champion Dr, Suite 100, Hagerstown, MD 21740-6665 2015-07-13
1033528112 Maryland Vision Institute, LLC Optometrist 220 Champion Dr, Suite 100, Hagerstown, MD 21740-6558 2014-08-04
1912312760 Maryland Vision Institute, LLC Eyewear Supplier (Equipment, not the service) 263 N Pennsylvania Ave, Hancock, MD 21750-1042 2014-06-30
1811231814 Maryland Vision Institute, LLC Ophthalmology 220 Champion Dr, Suite 100, Hagerstown, MD 21740-6558 2012-11-15

Office Location

Street Address 220 CHAMPION DR
SUITE 100
City HAGERSTOWN
State MD
Zip Code 21740-6558

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659371888 Kinga Michelle Huzella Ophthalmology 220 Champion Dr, Suite 100, Hagerstown, MD 21740-6558 2005-07-29
1285019109 Chelsea Dayton Optometrist 220 Champion Dr, Suite 100, Hagerstown, MD 21740-6665 2015-07-21
1689058323 Maryland Vision Institute, LLC Optometrist 220 Champion Dr, Suite 100, Hagerstown, MD 21740-6665 2015-07-13
1033528112 Maryland Vision Institute, LLC Optometrist 220 Champion Dr, Suite 100, Hagerstown, MD 21740-6558 2014-08-04
1811231814 Maryland Vision Institute, LLC Ophthalmology 220 Champion Dr, Suite 100, Hagerstown, MD 21740-6558 2012-11-15
1134417025 David S Holland Optometrist 220 Champion Dr, Suite 100, Hagerstown, MD 21740-6665 2011-07-13
1235304312 Bergman Eye Surgery Center, LLC Clinic/Center 220 Champion Dr, Suite 101, Hagerstown, MD 21740-6558 2008-04-29
1245405240 Augustus Graham Stern Ophthalmology 220 Champion Dr, Suite 100, Hagerstown, MD 21740-6558 2008-04-29
1235269853 Samala M Khan Optometrist 220 Champion Dr, Suite 100, Hagerstown, MD 21740-6558 2007-03-06

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1649828633 Ihuoma Marvelous Udeagha Nurse Practitioner West Virginia University Medicine Brain & Spine, 13 Western Maryland Parkway, Ste 106, Hagerstown, MD 21740 2019-09-03
1831651157 Rankin Physical Therapy, Inc. Clinic/Center 18348 Spark Drive, Suite 203, Hagerstown, MD 21740 2019-04-04
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Taxonomy Information

Taxonomy Code 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962061523 Bradley Sultan Eyewear Supplier (Equipment, not the service) 9315 Morning Walk Dr, Hagerstown, MD 21740-1485 2019-06-07
1811060726 Luxottica Retail North America Inc Eyewear Supplier (Equipment, not the service) 17318 Valley Mall Rd, Valley Mall, Hagerstown, MD 21740-1740 2006-11-16
1871596494 Hager Optical, Incorporated Eyewear Supplier (Equipment, not the service) 251 E Baltimore St, Hagerstown, MD 21740-6144 2005-05-27
1629143086 Luxottica of America Inc Eyewear Supplier (Equipment, not the service) 17213 Cole Rd, Hagerstown, MD 21740-6981 2006-11-21
1740237239 National Vision, Inc. Eyewear Supplier (Equipment, not the service) 17850 Garland Groh Blvd, Hagerstown, MD 21740-1992 2006-05-28

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NPI Name Taxonomy Address Enumeration
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1336756238 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 16520 Ballpark Rd, Bowie, MD 20716-3684 2020-09-25
1518573682 Bj's Wholesale Club Inc. Eyewear Supplier (Equipment, not the service) 8139 Gov Ritchie Hwy, Pasadena, MD 21122-6919 2020-09-23
1720608573 Optilens Vision Center Eyewear Supplier (Equipment, not the service) 1490 W Patapsco Ave Ste E, Baltimore, MD 21230-3400 2020-04-22
1366085888 Azar Eye Optical, LLC Eyewear Supplier (Equipment, not the service) 31519 Winterplace Pkwy Ste 2, Salisbury, MD 21804-1894 2019-10-28
1295387298 Dasod Eye Care LLC Eyewear Supplier (Equipment, not the service) 26772 Point Lookout Rd, Leonardtown, MD 20650-4905 2019-07-10
1447816293 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 7141 Arlington Rd Ste W1, Bethesda, MD 20814-2908 2019-05-17
1235610346 For Eyes Optical Inc Eyewear Supplier (Equipment, not the service) 10010 Reisterstown Rd, Owings Mills, MD 21117-4158 2018-08-27
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Competitor

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City HAGERSTOWN
Zip Code 21740

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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