Provider Demographics
NPI:1881778587
Name:SILVER SPRING EYE LLC
Entity type:Organization
Organization Name:SILVER SPRING EYE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:YAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-922-6033
Mailing Address - Street 1:8630 FENTON ST STE 514
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3833
Mailing Address - Country:US
Mailing Address - Phone:301-587-1220
Mailing Address - Fax:301-587-1269
Practice Address - Street 1:8630 FENTON ST STE 514
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3833
Practice Address - Country:US
Practice Address - Phone:301-587-1220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD489981401Medicaid
MDG01369Medicare PIN