Modern Eyes, LLC

NPI #1548311640 in Gaithersburg, Maryland

Provider Information

NPI Number: 1548311640
Entity Type: Organization
Organization Name: Modern Eyes, LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 15, 2007
Last Updated: Dec 14, 2007

Practice Location

Address: 108 OLDE TOWNE AVE
Address 2: STE. 16
City: Gaithersburg
State: Maryland
ZIP Code: 20877-2095
Phone: (240) 631-2255

Authorized Official

Name: DR. MARK P BORSUK, O.D.
Title: OWNER
Phone: (240) 631-2255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Vision Therapy — Vision Therapy	152WV0400X
Optometrist	152W00000X	Primary

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