# EYE TEL IMAGING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003875238
- **Authorized official:** MR. GARY L GREGORY (PRESIDENT & CEO)
- **Authorized official phone:** (301) 483-6167

## Contact information

- **Practice address:** 9130 GUILFORD ROAD, COLUMBIA, MD 21046-2581
- **Practice address phone:** (301) 483-6167
- **Practice address fax:** (301) 483-6168
- **Mailing address:** 9130 GUILFORD ROAD, COLUMBIA, MD 21046-2581
- **Mailing address phone:** (301) 483-6167
- **Mailing address fax:** (301) 483-6168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2006
- **Last updated:** 08/20/2009