Provider Demographics
NPI:1548237324
Name:WASHINGTON EYE CENTER,INC
Entity Type:Organization
Organization Name:WASHINGTON EYE CENTER,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:E
Authorized Official - Last Name:CAIMANO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-222-3937
Mailing Address - Street 1:2107 N. FRANKLIN DRIVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-6351
Mailing Address - Country:US
Mailing Address - Phone:724-222-3937
Mailing Address - Fax:
Practice Address - Street 1:2107 N. FRANKLIN DRIVE
Practice Address - Street 2:SUITE 1
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301
Practice Address - Country:US
Practice Address - Phone:724-222-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS010819L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1527602Medicaid
PAWA1426099OtherBLUE SHIELD PA.
PA1527602Medicaid