Poolesville Vision Service

LBN: Poolesville Vision And Contact Lens Service
Poolesville Vision Service is an health care organization with primary practice located at 20005 B Fisher Ave , Poolesville MD 20837-2408. The organization recently has 7 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Poolesville Vision And Contact Lens Service can be contacted via phone (301) 916-3214, or through Mevissen, Robin via phone (310) 916-3214.

Contact Information

Primary practice address
20005 B Fisher Ave Poolesville MD 20837-2408
Phone: (301) 916-3214
Fax: (301) 916-3101
Website:
Map and Directions
Authorized official contact:
Name: Mevissen, Robin Doctor of Optometry (OD)
Phone: (310) 916-3214

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TA1222 Maryland
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X TA1222 Maryland
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X TA1222 Maryland
Eye and Vision Services Providers / Pediatrics 152WP0200X TA1222 Maryland
Eye and Vision Services Providers / Sports Vision 152WS0006X TA1222 Maryland
Eye and Vision Services Providers / Vision Therapy 152WV0400X TA1222 Maryland
Eye and Vision Services Providers / Occupational Vision 152WX0102X TA1222 Maryland

Profile Details

NPI number 1114206943
LBN Legal business name Poolesville Vision And Contact Lens Service
DBA Doing business as Poolesville Vision Service
Authorized official Mevissen, Robin Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 10th, 2011
Last updated Aug 9th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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