# CAPITAL EYE PHYSICIANS & SURGEONS, LLC

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

## Provider details

- **NPI number:** 1154451219
- **Authorized official:** MRS. WENDY D KAUTZ CSA (ADMINISTRATOR)
- **Authorized official phone:** (301) 809-6305

## Contact information

- **Practice address:** 4000 MITCHELLVILLE RD, SUITE B-128, BOWIE, MD 20716-3104
- **Practice address phone:** (301) 809-6305
- **Practice address fax:** (301) 809-6306
- **Mailing address:** 4000 MITCHELLVILLE RD, SUITE B-128, BOWIE, MD 20716-3104
- **Mailing address phone:** (301) 809-6305
- **Mailing address fax:** (301) 809-6306

## Taxonomy

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

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 10/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 689701100 | — | MD |
| 05 | — | 689701103 | — | MD |