Organization Active NPI

Maryland Vision Institute

  • Ophthalmology Physician
  • Frederick, MD
National Provider Identifier
1366081135
Registry record updated Dec 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MARYLAND VISION INSTITUTE
Practice address
470 W Patrick St
Frederick, MD 21701-4858
Phone
(301) 668-2020
NPI assigned
Dec 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2019

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

Authorized official

Name
Augustus Graham Stern
Title
MD
Phone
(301) 791-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

470 W Patrick St
Frederick, MD 21701-4858

Mailing address

2002 Medical Pkwy Ste 320
Annapolis, MD 21401-7901
Phone (410) 571-8733

National Provider Directory

National Provider Directory

Locations

470 W Patrick St
Frederick, MD 21701
Phone (301) 668-2020

Practitioners & affiliated clinicians

Practitioners 1

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": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577404800000",
    "number": "1366081135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 MEDICAL PKWY STE 320",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017901",
            "telephone_number": "410-571-8733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014858",
            "telephone_number": "301-668-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND VISION INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2019-12-27",
        "certification_date": "2019-12-27",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "AUGUSTUS",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "301-791-0888"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.