Maryland Eye Center

LBN: Maryland Eye Physician And Surgeon, Llc
Maryland Eye Center is an health care organization with primary practice located at 2403 Research Blvd Ste 102 Suite 102, Rockville MD 20850-6233. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as the primary health care specialty. Maryland Eye Physician And Surgeon, Llc can be contacted via phone (240) 671-3808, or through Kim, Alisa via phone (240) 671-3808.

Contact Information

Primary practice address
2403 Research Blvd Ste 102 Suite 102 Rockville MD 20850-6233
Fax: (240) 232-2016
Website:
Authorized official contact:
Name: Kim, Alisa Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X D0061666 Maryland

Profile Details

NPI number 1508136029
LBN Legal business name Maryland Eye Physician And Surgeon, Llc
DBA Doing business as Maryland Eye Center
Authorized official Kim, Alisa Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2012
Last updated Dec 1st, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508136029 NPPES
Maryland MEDICAID 331604100
Maryland MEDICAID 405809700

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