Active NPI
Envue Eye & Laser Center LLC
- Ophthalmology Physician
- Oxon Hill, MD
National Provider Identifier
1568086304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ENVUE EYE & LASER CENTER LLC
- Practice address
- 120 Waterfront St Ste 300
Oxon Hill, MD 20745-1142 - Phone
- (301) 485-9533
- NPI assigned
- Jun 6, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Bruce Anthony Rivers, MD
- Title
- Owner
- Phone
- (301) 485-9533
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
120 Waterfront St Ste 300
Oxon Hill, MD 20745-1142
Mailing address
120 Waterfront St Ste 300
Oxon Hill, MD 20745-1142
Phone (301) 485-9533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
120 Waterfront St
Ste 300
Oxon Hill, MD 20745
Phone (301) 485-9533
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684972800000",
"number": "1568086304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 WATERFRONT ST STE 300",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207451142",
"telephone_number": "301-485-9533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 WATERFRONT ST STE 300",
"city": "OXON HILL",
"state": "MD",
"postal_code": "207451142",
"telephone_number": "301-485-9533"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENVUE EYE & LASER CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-06",
"last_updated": "2023-05-25",
"certification_date": "2023-05-25",
"status": "A",
"authorized_official_last_name": "RIVERS",
"authorized_official_first_name": "BRUCE",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-485-9533",
"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
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxon Hill, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.