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General NPI Number Information
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NPI Number | 1518427368
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Entity Type | Organization
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Legal Business Name | CAPITAL EYE CARE LLC
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 3289 WOODBURN RD STE 270
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City | ANNANDALE
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State | VA
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Zip | 22003-7351
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Country | US
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Telephone | 703-849-8601
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Fax | 703-849-8605
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Provider Business Mailing Address
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Address Line | 6720A ROCKLEDGE DR STE 200
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City | BETHESDA
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State | MD
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Zip | 20817-9915
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Country | US
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Telephone | 301-530-5200
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Fax | 301-530-5202
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | APRIL CHERISSE EDWARDS
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Credential |
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Telephone | 301-530-5200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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