Provider Demographics
NPI:1326316944
Name:ARGOS VISION AND EYE CARE CENTER, LLC
Entity Type:Organization
Organization Name:ARGOS VISION AND EYE CARE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:I
Authorized Official - Last Name:KUMP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-637-3181
Mailing Address - Street 1:15920 SHADY GROVE RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-1315
Mailing Address - Country:US
Mailing Address - Phone:301-637-3181
Mailing Address - Fax:301-637-5242
Practice Address - Street 1:15920 SHADY GROVE ROAD
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-1315
Practice Address - Country:US
Practice Address - Phone:301-637-3181
Practice Address - Fax:301-637-5242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-09
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0067770261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery