Potomac Eye Surgeons PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

POTOMAC EYE SURGEONS PA

Practice address

11500 Lake Potomac Dr
Potomac, MD 20854-1223

Phone

(301) 299-5666

Fax

(301) 299-6021

NPI assigned

Oct 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Laurie Joyce Wenger, MDNPI 1386643120

Title

President

Phone

(301) 299-5666

Specialties & licenses 2

Addresses

Other names 1

• Lawrence M. Levinson, MDPA Former legal business name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laurie Joyce Wenger, M.D.

  • Ophthalmology Physician
  • Potomac, MD
  • NPI 1386643120

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1194914333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 LAKE POTOMAC DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541223",
            "telephone_number": "301-299-5666",
            "fax_number": "301-299-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 LAKE POTOMAC DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208541223",
            "telephone_number": "301-299-5666",
            "fax_number": "301-299-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC EYE SURGEONS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "WENGER",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-299-5666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MD",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lawrence M. Levinson, MDPA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mihael H Polymeropoulos, MD
• Positive Behavioral Practice, Inc
• Potomac Acuclinic LLC
• Potomac Dermatology and Skincare Center
• Potomac Eldercare Physicians
• Potomac Feeding and Speech LLC
• Potomac Medical Aesthetics, LLC
• Potomac on Call LLC
• Potomac Operator LLC
• Potomac Physical Therapy and Sports Medicine, LLC

• Ophthalmology Physician in Potomac, MD
• Providers in Potomac, MD by specialty
• Ophthalmology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.