Consulting Ophthalmologists LLC

Organization Active NPI Ophthalmology Physician · Waldorf, MD

NPI 1962643395 · NPPES record last updated Sep 7, 2019

Key facts

NPI
1962643395
Entity type
Organization (NPI type 2)
Primary specialty
Ophthalmology Physician 207W00000X
License
D0058753 (MD)
Legal business name
CONSULTING OPHTHALMOLOGISTS LLC
Practice address
3460 Old Washington Rd Ste 302
Waldorf, MD 20602-3245
Phone
(301) 292-3535
Fax
(301) 637-3335
NPI assigned
Mar 14, 2009
Organization subpart
No

Authorized official

Name
Florian Anton Weilke, MD
Title
Vice President
Phone
(301) 292-3535

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in DC, MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090820000149 DC Part B Supplier - Clinic/Group Practice 1557415973 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC
O20100923000068 MD Part B Supplier - Clinic/Group Practice 1557415973 Receives reassigned benefits from 2 practitioners
Practice locations: Hollywood, MD; Waldorf, MD

National Provider Directory

Locations

3460 Old Washington Rd
Waldorf, MD 20602
Phone (301) 645-6556

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207W00000X D0058753 MD Yes

Addresses

Primary practice location

3460 Old Washington Rd Ste 302
Waldorf, MD 20602-3245

Mailing address

PO Box 442551
Ft Washington, MD 20749-2551
Phone (301) 292-3535

Other providers in Waldorf, MD

All providers in Waldorf, MD · Ophthalmology Physician in Maryland

Sources for this page

Verify at the official NPI Registry.