Western Maryland Vision Associates

NPI 1538311204 - Optometrist - 152W00000X

NPI Details
NPI 1538311204
Enumeration Date 10/14/2008
Last Updated 03/05/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RICHARD MATTHEW RICHARD
Position OWNER/OPERATOR
Phone (301) 729-4242
Fax (301) 729-8636
Practice Location
1221B NATIONAL HWY
LAVALE MD, 21502-7602, US
Phone (301) 729-4242
Fax (301) 729-8636
Business Location
1221B NATIONAL HWY
LAVALE MD, 21502-7602, US
Phone (301) 729-4242
Fax (301) 729-8636
Toxanomy
Taxonomy Code 152W00000X
License State Maryland
License Number TA1712
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According to our database, Western Maryland Vision Associates NPI is 1538311204, taxonomy code is 152W00000X and license number is TA1712, license state is located at Maryland. Western Maryland Vision Associates physically located at 1221b National Hwy, Lavale MD, 21502-7602. NPI Number 1033115704 has the healthcare provider type.

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1538311204 NPI number is provided on an as is basis without warranty of any kind. 1538311204 is maintained by the National Plan & Provider Enumeration System. The contents of Western Maryland Vision Associates are for informational purposes only.