Provider Demographics
NPI:1073722898
Name:STERLING OPTICAL
Entity Type:Organization
Organization Name:STERLING OPTICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ZELINKA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:410-766-7379
Mailing Address - Street 1:7900 RITCHIE HWY STE E143
Mailing Address - Street 2:MARLEY STATION MALL
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-4360
Mailing Address - Country:US
Mailing Address - Phone:410-766-7379
Mailing Address - Fax:
Practice Address - Street 1:7900 RITCHIE HWY STE E143
Practice Address - Street 2:MARLEY STATION MALL
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-4360
Practice Address - Country:US
Practice Address - Phone:410-766-7379
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1346152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty