Provider Demographics
NPI:1962643395
Name:CONSULTING OPHTHALMOLOGISTS LLC
Entity Type:Organization
Organization Name:CONSULTING OPHTHALMOLOGISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FLORIAN
Authorized Official - Middle Name:ANTON
Authorized Official - Last Name:WEILKE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-292-3535
Mailing Address - Street 1:PO BOX 442551
Mailing Address - Street 2:
Mailing Address - City:FT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20749-2551
Mailing Address - Country:US
Mailing Address - Phone:301-292-3535
Mailing Address - Fax:301-637-3335
Practice Address - Street 1:3460 OLD WASHINGTON RD STE 302
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20602-3245
Practice Address - Country:US
Practice Address - Phone:301-292-3535
Practice Address - Fax:301-637-3335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-14
Last Update Date:2019-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0058753207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty