Healthcare Provider Details

I. General information

NPI: 1821935594
Provider Name (Legal Business Name): APEX VISION INSTITUTE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12337 FALLEN TIMBERS CIR
HAGERSTOWN MD
21740-1242
US

IV. Provider business mailing address

12337 FALLEN TIMBERS CIR
HAGERSTOWN MD
21740-1242
US

V. Phone/Fax

Practice location:
  • Phone: 857-318-3926
  • Fax:
Mailing address:
  • Phone: 857-318-3926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. FABRICE DJOKO DZUGUIA
Title or Position: MANAGING MEMBER
Credential: OD
Phone: 857-318-3926