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Contact Information

KENTLANDS OPTOMETRY, LLC
KENTLANDS PLACE SHOPPING CENTER
80 MARKET STREET
GAITHERSBURG, MD20878
 Phone: 301-990-1122
 Fax: 703-991-0514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KENTLANDS OPTOMETRY LLC · (Female)

NPI # 1275774234
Status Active
Credentials
Entity Individual
Enumeration date 03/20/2009
Last updated 05/02/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • MD License # TA1970
  • MD Other TA1970 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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