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
-
Olivia Dryjski, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician |
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
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All providers in Waldorf, MD · Ophthalmology Physician in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.