Organization
KENTLANDS OPTOMETRY, LLC
Active
Other names
My Eye Dr.
Organization subpart
No
Provider details
NPI number
Authorized official
SUE DOWNES (SECRETARY)
(703) 847-8899
Entity
Organization
Contact information
Practice address
KENTLANDS PLACE SHOPPING CENTER, 80 MARKET STREET, GAITHERSBURG, MD 20878
(301) 990-1122
(703) 991-0514
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1970
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TA1970
STATE LICENSE
MD
Enumeration date
03/20/2009
Last updated
05/02/2024
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