Provider Demographics
NPI:1487350179
Name:LUIS TOLEDO-ESPIETT, OD, LLC
Entity type:Organization
Organization Name:LUIS TOLEDO-ESPIETT, OD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLEDO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:443-970-9044
Mailing Address - Street 1:1900 CHAPMAN AVE APT 416
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-1986
Mailing Address - Country:US
Mailing Address - Phone:443-970-9044
Mailing Address - Fax:
Practice Address - Street 1:11160 VEIRS MILL RD SPC G1
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-2542
Practice Address - Country:US
Practice Address - Phone:443-970-9044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-03
Last Update Date:2023-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty