# MONTGOMERY EYE PHYSICIANS & SURGEONS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MONTGOMERY EYE PHYSICIANS & SURGEONS, P.A.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1205704012
- **Legal business name:** MONTGOMERY EYE PHYSICIANS & SURGEONS, P.A.
- **Authorized official:** YUN JA PARK (PRESIDENT)
- **Authorized official phone:** (301) 881-5888

## Contact information

- **Practice address:** 1 BANK ST STE 220, GAITHERSBURG, MD 20878-1503
- **Practice address phone:** (301) 881-5888
- **Practice address fax:** (301) 881-2945
- **Mailing address:** 11140 ROCKVILLE PIKE STE 450, ROCKVILLE, MD 20852-3138
- **Mailing address phone:** (301) 881-5888
- **Mailing address fax:** (301) 881-2945

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2025
- **Last updated:** 10/24/2025