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NPI 1255719787

NPI 1255719787 : ARGOS VISION CENTER, LLC : GAITHERSBURG, MD

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General NPI Number Information
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    NPI Number           |    1255719787
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARGOS VISION CENTER, LLC 
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Dates
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    Enumeration Date     |    05/17/2015
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    Last Update Date     |    12/13/2016
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Provider Practice Location Address
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    Address Line         |    15920 SHADY GROVE RD 
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    City                 |    GAITHERSBURG
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    State                |    MD
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    Zip                  |    20877
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    Country              |    US
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    Telephone            |    301-637-3181
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    Fax                  |    301-637-5242
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Provider Business Mailing Address
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    Address Line         |    15920 SHADY GROVE RD 
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    City                 |    GAITHERSBURG
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    State                |    MD
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    Zip                  |    20877
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    Country              |    US
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    Telephone            |    301-637-3181
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    Fax                  |    301-637-5242
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |    DR. ELENA BEATRIZ MIER-TROTTER 
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    Credential           |    M.D.
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    Telephone            |    301-637-3181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    TA1769
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    License Number State |    MD
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    D50580
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    License Number State |    MD
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Taxonomy #3
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    
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    License Number State |    MD
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Taxonomy #4
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    
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    License Number State |    MD
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