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MY EYE DR.
NPI 1275774234
Optometrist in Gaithersburg, MD

Active since March 20, 2009CLIA 21D2312626 · Waiver
KENTLANDS PLACE SHOPPING CENTER, 80 MARKET STREET, GAITHERSBURG, MD 20878(301) 990-1122(703) 991-0514 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 2, 2024, Apr 17, 2024, May 27, 2022 and 1 more (4 updates tracked since 2019).

About My Eye Dr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MY EYE DR. (NPI 1275774234) is a healthcare organization registered as an optometrist in Gaithersburg, Maryland and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Sue Downes, Secretary, as its authorized official.

NPPES Registry Identity

NPI1275774234
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKENTLANDS OPTOMETRY, LLC
Location AddressKENTLANDS PLACE SHOPPING CENTER, 80 MARKET STREETGaithersburg, MD 20878
Mailing Address8614 Westwood Center Dr Fl 9Vienna, VA 22182-2442 · (703) 847-8899 · Fax (571) 223-6780
Phone(301) 990-1122
Fax(703) 991-0514
Organization SubpartNo
Authorized OfficialSue DownesSecretary · (703) 847-8899
Enumeration DateMarch 20, 2009
Last NPPES UpdateMay 2, 20244 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1275774234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MD · TA1970
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
KENTLANDS PLACE SHOPPING CENTER, Gaithersburg, MD 20878
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Other Names 1

Doing Business AsMy Eye Dr.

Other Identifiers 1

OtherTA1970MD · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BlueCross BlueShield of Tennessee.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2312626

Kentlands Optometry LLC · Gaithersburg, MD
Active · expires Oct 15, 2026
CLIA Number21D2312626
Laboratory TypePhysician Office
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorVincent Bertomeu
Laboratory Phone(703) 847-8899
Laboratory LocationKentlands Optometry LLC80 Market St, Gaithersburg, MD 20878
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kentlands Optometry, LLC's NPI number?

The NPI number for Kentlands Optometry, LLC is 1275774234. It was assigned to this organization in the NPPES registry on March 20, 2009. The provider is doing business as My Eye Dr..

Where is Kentlands Optometry, LLC located?

Kentlands Optometry, LLC is located at Kentlands Place Shopping Center 80 Market Street, Gaithersburg, MD 20878. The listed phone number is (301) 990-1122.

What is Kentlands Optometry, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Kentlands Optometry, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2312626) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kentlands Optometry, LLC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee list Kentlands Optometry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kentlands Optometry, LLC was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.