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NPI Code Detail

MEDICARE: VISION OPTICAL

MEDICARE: VISION OPTICAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance Organization152W00000XMD

General Provider Information

NPI Number : 1447496260
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISION OPTICAL
Provider Business Mailing Address
First Line : 8635 CHERRY LN
Second Line :
City : LAUREL
State : MD
Zip : 20707-6200
Country : US
Telephone Number : 301-483-3103
Fax Number :
Provider Business Practice Location Address
First Line : 8635 CHERRY LN
Second Line :
City : LAUREL
State : MD
Zip : 20707-6200
Country : US
Telephone Number : 301-483-3103
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. SHARON MAXINE TERRY
Credential :
Telephone Number : 301-483-3103
Provider Enumeration Date : 12/29/2008
Last Update Date : 12/29/2008

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Directions to “VISION OPTICAL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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