Provider Demographics
NPI:1104006816
Name:LERNER VISION CARE, LLC
Entity Type:Organization
Organization Name:LERNER VISION CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCIE
Authorized Official - Middle Name:MILLER
Authorized Official - Last Name:LERNER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:301-913-0293
Mailing Address - Street 1:7101 WISCONSIN AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-4805
Mailing Address - Country:US
Mailing Address - Phone:301-913-0293
Mailing Address - Fax:301-913-9264
Practice Address - Street 1:7101 WISCONSIN AVE STE 112
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-4805
Practice Address - Country:US
Practice Address - Phone:301-913-0293
Practice Address - Fax:301-913-9264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1352261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG01933Medicare PIN