Provider Demographics
NPI:1184833006
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:DAVID
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:JUPITER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:410-363-3100
Mailing Address - Street 1:10300 MILL RUN CIR
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4213
Mailing Address - Country:US
Mailing Address - Phone:410-363-3100
Mailing Address - Fax:410-363-8117
Practice Address - Street 1:10300 MILL RUN CIR
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-4213
Practice Address - Country:US
Practice Address - Phone:410-363-3100
Practice Address - Fax:410-363-8117
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1248152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty