Organization
CAPITAL EYE PHYSICIANS & SURGEONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL EDWARD HUSTON (ADMINISTRATOR)
(202) 529-5200
Entity
Organization
Contact information
Practice address
4000 MITCHELLVILLE RD, B128, BOWIE, MD 20716-3104
(202) 529-5200
(202) 269-3462
Mailing address
PO BOX 41534, BALTIMORE, MD 21203-6534
(202) 529-5200
(202) 269-3462
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6897011
—
MD
Enumeration date
08/03/2006
Last updated
10/17/2007
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