MEDICARE: SILVER SPRING EYE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician		MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881778587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SILVER SPRING EYE LLC

Provider Business Mailing Address
First Line	:	8630 FENTON ST STE 514
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3833
Country	:	US
Telephone Number	:	301-587-1220
Fax Number	:	301-587-1269

Provider Business Practice Location Address
First Line	:	8630 FENTON ST STE 514
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3833
Country	:	US
Telephone Number	:	301-587-1220
Fax Number	:

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. THOMAS H YAU
Credential	:	MD
Telephone Number	:	301-922-6033

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	06/15/2022

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Directions to “SILVER SPRING EYE LLC ” Practice Location

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