Myeyedr Optometry Of Maryland, LLC
Optometrist in Gaithersburg, MD. Organization (NPI-2).
NPI number1053200725
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1053200725
- Entity type
- Organization (NPI-2)
- Legal business name
- Myeyedr Optometry Of Maryland, LLC
- Organization subpart
- No
- Enumeration date
- Jun 30, 2025
- Certification date
- Jun 30, 2025
- Last updated
- Jun 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Myeyedr. (Doing Business As)
Practice location
80 Market StGaithersburg, MD 20878-6532
Phone 301-990-1122 · Fax 301-990-1142
Mailing address
8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442
Phone 703-847-8899 · Fax 571-223-6780
Authorized official
Sue Downes
Secretary
7038478899
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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