Organization · NPI-2

Eye Rx PLLC

Optometrist · Chevy Chase, MD

NPI number1073928800
StatusActive
Last updated in NPPESApr 8, 2016

Details

NPI
1073928800
Entity type
Organization (NPI-2)
Legal business name
Eye Rx PLLC
Organization subpart
No
Enumeration date
Jul 1, 2014
Last updated
Apr 8, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristTA2244MDYes

Practice location

4600 N Park Ave
Plaza North
Chevy Chase, MD 20815-4518

Phone 301-841-6776 · Fax 301-215-4144

Mailing address

4600 N Park Ave
Plaza North
Chevy Chase, MD 20815-4518

Phone 301-841-6776 · Fax 301-215-4144

Authorized official

Benjamin M. Teller
Owner
3018416776

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