Organization Active NPI

Vision 2020

  • Optometrist
  • Hagerstown, MD
National Provider Identifier
1013559673
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION 2020
Practice address
12818 Shank Farm Way Ste G
Hagerstown, MD 21742-2951
Phone
(301) 797-3030
Fax
(301) 797-5471
NPI assigned
Oct 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Patricia Parks
Title
Billing Manager
Phone
(517) 231-4086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

12818 Shank Farm Way Ste G
Hagerstown, MD 21742-2951

Mailing address

1009 W Central St
Elkins, WV 26241-3244

Other practice location 1

171 Retail Commons Pkwy Ste 6
Martinsburg, WV 25403-6179
Phone (304) 689-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191227001415 WV Part B Supplier - Clinic/Group Practice 9638503600 Receives reassigned benefits from 3 practitioners
Practice locations: Martinsburg, WV
O20230331000092 MD Part B Supplier - Clinic/Group Practice 9638503600 Receives reassigned benefits from 6 practitioners
Practice locations: Hagerstown, MD

National Provider Directory

National Provider Directory

Locations

1545 Potomac Ave
Hagerstown, MD 21742
Phone (301) 797-3030

12818 Shank Farm Way
Ste G
Hagerstown, MD 21742
Phone (301) 797-3030

171 Retail Commons Pkwy
Martinsburg, WV 25403

171 Retail Commons Pkwy
Ste 6
Martinsburg, WV 25403
Phone (304) 689-2020

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1013559673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 W CENTRAL ST",
            "city": "ELKINS",
            "state": "WV",
            "postal_code": "262413244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12818 SHANK FARM WAY STE G",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217422951",
            "telephone_number": "301-797-3030",
            "fax_number": "301-797-5471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "171 Retail Commons Pkwy Ste 6",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254036179",
            "country_code": "US",
            "telephone_number": "304-689-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISION 2020",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "517-231-4086"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.