Provider Demographics
NPI:1811965288
Name:ASHBURN, FRANK S JR (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:S
Last Name:ASHBURN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4910 MASS AVE NW
Mailing Address - Street 2:STE 21 EYE ASSOCIATES OF WASH DC PC
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016
Mailing Address - Country:US
Mailing Address - Phone:202-686-6700
Mailing Address - Fax:202-537-1442
Practice Address - Street 1:4910 MASS AVE NW
Practice Address - Street 2:STE 21
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016
Practice Address - Country:US
Practice Address - Phone:202-686-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD11250207W00000X
MDD0026700207W00000X
VA207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCB365OtherCAREFIRST BCBS
VA6302351Medicaid
VA6302351Medicaid
B93106Medicare UPIN