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ROCKVILLE EYE SURGERY CENTER LLC NPI 1336255827


NPI Information

NPI: 1336255827
Provider Name: ROCKVILLE EYE SURGERY CENTER, LLC

Doing Business As: PALISADES EYE SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
4818 DEL RAY AVE
FIRST FLOOR
BETHESDA, MD
ZIP 20814
Phone: (301) 657-8200
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ROCKVILLE EYE SURGERY CENTER, LLC is an ambulatory surgical clinic center in Bethesda, MD. ROCKVILLE EYE SURGERY CENTER, LLC NPI is 1336255827. The provider is registered as an organization entity type.
The provider Is Doing Business As Palisades Eye Surgery Center.

The provider's business location address is:

4818 DEL RAY AVE
FIRST FLOOR
BETHESDA, MD
ZIP 20814-014
Phone: (301) 657-8200
Fax: (301) 657-4121

The provider's authorized official is Robert Chu .
The authorized official title is Medical Director and has the following contact phone number (301) 657-8200.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 7/8/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalA1406MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12139740OTHERUNITED HEALTHCARE(ALL PRO
2605580900OTHERUS DEPT OF LABOR
3RU3OTHERDISTRICT OF COLUMBIABLUE CROSS BLUE SHIELD
4407253700MEDICAIDMARYLAND
5=========OTHERTRICARE/CHAMPUS
6AETNAOTHERHMO 3765143
7A00065MEDICARE ID-TYPE UNSPECIFIEDMARYLANDWE ARE UNDER DC/DELAWARE
83690103OTHERCIGNA (ALL PRODUCTS)
97637708OTHERAETNA PPO
10U7OTHERMARYLANDBLUE CROSS BLUE SHIELD MD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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