Washington Eye Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

WASHINGTON EYE SURGERY CENTER LLC

Practice address

14995 Shady Grove Rd Ste 110
Rockville, MD 20850-8735

Phone

(301) 277-4844

NPI assigned

Jan 5, 2022

Last updated

Feb 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dina Kennedy

Title

Practice Administrator

Phone

(301) 277-4844

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932860608. Details of each certification follow.

• CCN 21C0001670 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 21C0001670

Legal name

Washington Eye Surgery Center

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Nov 27, 2023

Last certification

Oct 27, 2023

Facility address

14995 Shady Grove Road, Suite 110
Rockville, MD 20850

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

CLIA laboratory certificates

Locations

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.

• Michael Eric Summerfield, M.D.

  • Ophthalmology Physician
  • Riverdale, MD
  • NPI 1588690358

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1932860608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 GREENWAY CENTER DR STE 300",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703551",
            "telephone_number": "301-277-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14995 SHADY GROVE RD STE 110",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208508735",
            "telephone_number": "301-277-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON EYE SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DINA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "301-277-4844"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Warren
• Troiasia Warren
• Tyler John Warren, DC
• David Ira Wartenberg, MD
• Sohan Warusha, MD
• Washington Insight Solutions LLC
• Washington Nephrology Associates, L.L.P.
• Washington Nephrology Associates, L.L.P.
• Washington Open MRI Inc
• Washington Plastic Surgery Group, LLC

• Ambulatory Surgical Clinic/Center in Rockville, MD
• Providers in Rockville, MD by specialty
• Ambulatory Surgical Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.