Provider Demographics
NPI:1396975157
Name:COLUMBIA EYE ASSOCIATES, P.C.
Entity type:Organization
Organization Name:COLUMBIA EYE ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJIV
Authorized Official - Middle Name:
Authorized Official - Last Name:LUTHRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:202-659-0066
Mailing Address - Street 1:2440 M ST NW
Mailing Address - Street 2:SUITE 516
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037
Mailing Address - Country:US
Mailing Address - Phone:202-659-0066
Mailing Address - Fax:202-466-2933
Practice Address - Street 1:2440 M ST NW
Practice Address - Street 2:SUITE 516
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037
Practice Address - Country:US
Practice Address - Phone:202-659-0066
Practice Address - Fax:202-466-2933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-15
Last Update Date:2022-09-20
Deactivation Date:2009-08-05
Deactivation Code:
Reactivation Date:2009-08-10
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCMD034763OtherMEDICAL LICENSE