NPIMap

Organization Active NPI

Montgomery Village Eye Center Inc

Doing business as Montgomery village Eye Center

  • Optometrist
  • Gaithersburg, MD
National Provider Identifier
1871937268
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0991 Issued in MD
Legal business name
MONTGOMERY VILLAGE EYE CENTER INC
Doing business as
Montgomery village Eye Center
Practice address
18310 Montgomery Village Ave Ste 140
Gaithersburg, MD 20879-3556
Phone
(301) 698-4070
Fax
(301) 869-0397
NPI assigned
Apr 29, 2013
Last updated
Sep 30, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Dr. Gabriela Miller, O.D.NPI 1649349457
Title
President
Phone
(301) 869-4070

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
Optometrist 152W00000X TA0991 MD Primary

Addresses

Primary practice location

18310 Montgomery Village Ave Ste 140
Gaithersburg, MD 20879-3556

Mailing address

18310 Montgomery Village Ave Ste 140
Gaithersburg, MD 20879-3556
Phone (301) 698-4070

Other identifiers 1

IdentifierTypeStateIssuer
276459OtherMDGROUP PTAN

Other names 1

  • Montgomery village Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130503000025 DC Part B Supplier - Clinic/Group Practice 0042457400 Receives reassigned benefits from 4 practitioners
Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

18310 Montgomery Village Ave
Ste 140
Gaithersburg, MD 20879
Phone (301) 698-4070

19221 Montgomery Village Ave
Ste C11
Montgomery Village, MD 20886
Phone (301) 869-4070

Practitioners & affiliated clinicians

Practitioners 6

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": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1871937268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 140",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793556",
            "telephone_number": "301-698-4070",
            "fax_number": "301-869-0397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 MONTGOMERY VILLAGE AVE STE 140",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208793556",
            "telephone_number": "301-698-4070",
            "fax_number": "301-869-0397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY VILLAGE EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-869-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "276459",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery village Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Montgomery village Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 30, 2022; 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.

Verify at the official NPI Registry.