NPIMap

Organization Active NPI

Maryland Vision Institute, LLC

Doing business as Maryland Vision Institute Optical

  • Eyewear Supplier
  • Hagerstown, MD
National Provider Identifier
1528473246
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
MARYLAND VISION INSTITUTE, LLC
Doing business as
Maryland Vision Institute Optical
Practice address
220 Champion Dr
Suite 100
Hagerstown, MD 21740-6558
Phone
(301) 791-0888
Fax
(301) 791-3611
NPI assigned
Jun 23, 2014
Last updated
Sep 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Authorized official

Name
Augustus Stern, M.D.NPI 1245405240
Title
Owner
Phone
(301) 791-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

220 Champion Dr
Suite 100
Hagerstown, MD 21740-6558

Mailing address

220 Champion Dr
Suite 100
Hagerstown, MD 21740-6558
Phone (301) 791-0888

Other names 1

  • Maryland Vision Institute Optical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1528473246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 CHAMPION DR",
            "address_2": "SUITE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406558",
            "telephone_number": "301-791-0888",
            "fax_number": "301-791-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHAMPION DR",
            "address_2": "SUITE 100",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406558",
            "telephone_number": "301-791-0888",
            "fax_number": "301-791-3611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND VISION INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "AUGUSTUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-791-0888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Vision Institute Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 24, 2014; 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.