Provider Demographics
NPI:1275730491
Name:EYE ASSOCIATES
Entity Type:Organization
Organization Name:EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:R
Authorized Official - Last Name:MUND
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:301-345-2053
Mailing Address - Street 1:5701 GREENBELT RD
Mailing Address - Street 2:
Mailing Address - City:BERWYN HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2257
Mailing Address - Country:US
Mailing Address - Phone:301-345-2053
Mailing Address - Fax:301-592-5070
Practice Address - Street 1:5701 GREENBELT RD
Practice Address - Street 2:
Practice Address - City:BERWYN HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20740-2257
Practice Address - Country:US
Practice Address - Phone:410-997-1800
Practice Address - Fax:301-596-5070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WS0006XEye and Vision Services ProvidersOptometristSports VisionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD016419Medicare ID - Type Unspecified