1346468527 NPI number — CATARACT AND LASER EYE INSTITUTE OF AMERICA, INC.

Table of content: (NPI 1346468527)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1346468527 NPI number — CATARACT AND LASER EYE INSTITUTE OF AMERICA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CATARACT AND LASER EYE INSTITUTE OF AMERICA, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1346468527
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/13/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10215 FERNWOOD RD
Provider Second Line Business Mailing Address:
SUITE #98
Provider Business Mailing Address City Name:
BETHESDA
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20817-1106
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-493-6404
Provider Business Mailing Address Fax Number:
301-493-9694

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10215 FERNWOOD RD
Provider Second Line Business Practice Location Address:
SUITE #98
Provider Business Practice Location Address City Name:
BETHESDA
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20817-1106
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-493-6404
Provider Business Practice Location Address Fax Number:
301-493-9694
Provider Enumeration Date:
04/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
DUPLESSIE
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
D
Authorized Official Title or Position:
DOCTOR
Authorized Official Telephone Number:
301-493-6404

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  D00052880 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1699757971 . This is a "NPI" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com