Organization
CAPITAL EYE PHYSICIANS & SURGEONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WENDY D KAUTZ CSA (ADMINISTRATOR)
(301) 809-6305
Entity
Organization
Contact information
Practice address
4000 MITCHELLVILLE RD, SUITE B-128, BOWIE, MD 20716-3104
(301) 809-6305
(301) 809-6306
Mailing address
4000 MITCHELLVILLE RD, SUITE B-128, BOWIE, MD 20716-3104
(301) 809-6305
(301) 809-6306
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
689701100
—
MD
05
—
689701103
—
MD
Enumeration date
03/07/2007
Last updated
10/23/2008
Update your record
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