| Organization Name: | SILVER SPRING OPHTHALMOLOGY, LLC |
| NPI Number: | 1003853136 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHARLES BAHN (MANAGER) |
| Mailing Address: | 8630 Fenton St Suite 800 Silver Spring |
| State: | MD US |
| Postal Code: | 209103806 |
| Phone Number: | 3015858880 |
| Fax Number: | 3015856521 |
| NPI Enumeration Date: | 05/31/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QS0132X |
| License Number: | A1177 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ophthalmologic Surgery |
| Taxonomy Definition: | |