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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

NPI # 1275774234
LBN Legal business name KENTLANDS OPTOMETRY, LLC
Authorized official SUE DOWNES - (SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2009
Last updated 05/02/2024 - About 2 years ago
Identifiers
MD License # TA1970
MD Other TA1970 STATE LICENSE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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