NPIMap

Organization Active NPI

Montgomery Eye Physicians & Surgeons, P.a.

  • Ophthalmology Physician
  • Gaithersburg, MD
National Provider Identifier
1205704012
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MONTGOMERY EYE PHYSICIANS & SURGEONS, P.A.
Practice address
1 Bank St Ste 220
Gaithersburg, MD 20878-1503
Phone
(301) 881-5888
Fax
(301) 881-2945
NPI assigned
Oct 24, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
MONTGOMERY EYE PHYSICIANS & SURGEONS, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Yun Ja ParkNPI 1821263294
Title
President
Phone
(301) 881-5888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1 Bank St Ste 220
Gaithersburg, MD 20878-1503

Mailing address

11140 Rockville Pike Ste 450
Rockville, MD 20852-3138
Phone (301) 881-5888

National Provider Directory

National Provider Directory
Tax ID family
Montgomery Eye Phys Surg2 organizations share this tax ID, including this one
Part of
Montgomery Eye Phys Surg

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1 Bank St
Ste 220
Gaithersburg, MD 20878
Phone (301) 881-5888

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1205704012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 ROCKVILLE PIKE STE 450",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523138",
            "telephone_number": "301-881-5888",
            "fax_number": "301-881-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BANK ST STE 220",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208781503",
            "telephone_number": "301-881-5888",
            "fax_number": "301-881-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY EYE PHYSICIANS & SURGEONS, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY EYE PHYSICIANS & SURGEONS, P.A.",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "YUN",
        "authorized_official_middle_name": "JA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-881-5888"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.