# EYEMAX

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

## Provider details

- **NPI number:** 1538323159
- **Authorized official:** DR. TADELE JEMBERE M.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (240) 476-0099

## Contact information

- **Practice address:** 2211 METZEROTT RD, ADELPHI, MD 20783-1623
- **Practice address phone:** (240) 476-0099
- **Mailing address:** 2211 METZEROTT RD, ADELPHI, MD 20783-1623
- **Mailing address phone:** (240) 476-0099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | MD11483 | DC | Yes |

## Other

- **Enumeration date:** 07/13/2008
- **Last updated:** 07/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0368715 00 | — | DC |