NPI 1780254086 · live from the CMS NPI Registry
Envue Surgical LLC
Clinic/Center, Ophthalmologic Surgery in Oxon Hill, MD. National Provider Identifier 1780254086, active.
NPI record
| NPI | 1780254086 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Clinic/Center, Ophthalmologic Surgery 261QS0132X |
| Practice location | 120 Waterfront St Ste 300, Oxon Hill, MD 20745 |
| Practice phone | 301-485-9533 |
| Mailing address | 7014 Oregon Ave Nw, Washington, DC 20015 |
| Enumerated | June 29, 2021 |
| Last updated | August 18, 2021 |
| Authorized official | Bruce Rivers, Medical Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | — |
| Clinic/Center, Ophthalmologic Surgery primary | 261QS0132X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.