Provider Demographics
NPI:1174568695
Name:MAYER, HYLTON RICHARD (M D)
Entity type:Individual
Prefix:DR
First Name:HYLTON
Middle Name:RICHARD
Last Name:MAYER
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2 WISCONSIN CIR
Mailing Address - Street 2:SUITE 230
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-7003
Mailing Address - Country:US
Mailing Address - Phone:301-215-7100
Mailing Address - Fax:301-215-4144
Practice Address - Street 1:2 WISCONSIN CIR
Practice Address - Street 2:SUITE 230
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-7003
Practice Address - Country:US
Practice Address - Phone:301-215-7100
Practice Address - Fax:301-215-4144
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA101248322207W00000X
CT044051207W00000X
DCMD038903207W00000X
MDD0071125207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDM71944OtherMD-CDS
DCCS1000505OtherDC-CDS
CTCSP0035764OtherCONTROLLED SUBSTANCE REG.
DCCS1000505OtherDC-CDS
CTCSP0035764OtherCONTROLLED SUBSTANCE REG.
DCFM197449OtherDC-DEA
DCFM197449OtherDC-DEA