Provider Demographics
NPI:1619064854
Name:WASHINGTON EYE DOCTORS PC
Entity Type:Organization
Organization Name:WASHINGTON EYE DOCTORS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:ROSENBLATT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:202-331-7566
Mailing Address - Street 1:900 17TH ST NW STE 400
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-2507
Mailing Address - Country:US
Mailing Address - Phone:202-331-7566
Mailing Address - Fax:202-331-8533
Practice Address - Street 1:900 17TH ST NW STE 400
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-2507
Practice Address - Country:US
Practice Address - Phone:202-331-7566
Practice Address - Fax:202-331-8533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOP653152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC181691Medicare PIN