Provider Demographics
NPI:1851938823
Name:ROCKVILLE EYE SURGERY CENTER, LLC
Entity Type:Organization
Organization Name:ROCKVILLE EYE SURGERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:KUTSCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-657-8200
Mailing Address - Street 1:4831 CORDELL AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3068
Mailing Address - Country:US
Mailing Address - Phone:301-657-8200
Mailing Address - Fax:301-657-4121
Practice Address - Street 1:4831 CORDELL AVE
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3068
Practice Address - Country:US
Practice Address - Phone:301-657-8200
Practice Address - Fax:301-657-4121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-09
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty