Provider Demographics
NPI:1790225159
Name:CENTRAL MARYLAND EYE ASSOCIATES
Entity Type:Organization
Organization Name:CENTRAL MARYLAND EYE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-662-4545
Mailing Address - Street 1:5283 CORPORATE DR
Mailing Address - Street 2:SUITE 201
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-2877
Mailing Address - Country:US
Mailing Address - Phone:301-662-4545
Mailing Address - Fax:301-662-4044
Practice Address - Street 1:5283 CORPORATE DR
Practice Address - Street 2:SUITE 201
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-2877
Practice Address - Country:US
Practice Address - Phone:301-662-4545
Practice Address - Fax:301-662-4044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty