Provider Demographics
NPI:1376910539
Name:CORNEA CONSULTANTS, P.C. 2
Entity Type:Organization
Organization Name:CORNEA CONSULTANTS, P.C. 2
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-287-4124
Mailing Address - Street 1:5842 HUBBARD DR
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-4820
Mailing Address - Country:US
Mailing Address - Phone:301-770-6888
Mailing Address - Fax:
Practice Address - Street 1:5842 HUBBARD DR
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-4820
Practice Address - Country:US
Practice Address - Phone:301-770-6888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA2279152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty