Organization Active NPI

Eagle Eye Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • North Potomac, MD
National Provider Identifier
1669912788
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EAGLE EYE SURGERY CENTER LLC
Practice address
15001 Dufief Mill Rd
North Potomac, MD 20878-2599
Phone
(301) 279-9123
Fax
(301) 279-6828
NPI assigned
Mar 8, 2017
Last updated
Mar 20, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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

Authorized official

Name
Toufic S Melki, M.D.NPI 1801979893
Title
Owner
Phone
(301) 279-9123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

15001 Dufief Mill Rd
North Potomac, MD 20878-2599

Mailing address

15020 Shady Grove Rd
Suite 302
Rockville, MD 20850-3364
Phone (301) 279-9123

National Provider Directory

National Provider Directory

Locations

15001 Dufief Mill Rd
North Potomac, MD 20878
Phone (301) 251-9503

15020 Shady Grove Rd
Ste 302
Rockville, MD 20850
Phone (301) 279-9123

Practitioners & affiliated clinicians

Practitioners 1

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": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1669912788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15020 SHADY GROVE RD",
            "address_2": "SUITE 302",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503364",
            "telephone_number": "301-279-9123",
            "fax_number": "301-279-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 DUFIEF MILL RD",
            "city": "NORTH POTOMAC",
            "state": "MD",
            "postal_code": "208782599",
            "telephone_number": "301-279-9123",
            "fax_number": "301-279-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE EYE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "MELKI",
        "authorized_official_first_name": "TOUFIC",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-279-9123",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Potomac, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.