| Vision 2020 | |
|
12818 Shank Farm Way Ste G, Hagerstown, MD 21742-2951 | |
| (301) 797-3030 | |
| (301) 797-5471 |
| Full Name | Vision 2020 |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 12818 Shank Farm Way Ste G, Hagerstown, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013559673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Nagaraju Kemidi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962631838 PECOS PAC ID: 3173679073 Enrollment ID: I20110615000814 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision 2020 1009 W Central St, Elkins, WV 26241-3244 Ph: () - | Vision 2020 12818 Shank Farm Way Ste G, Hagerstown, MD 21742-2951 Ph: (301) 797-3030 |
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