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NPI Code Detail

MEDICARE: WASHINGTON EYE ASSOCIATES, PLLC

MEDICARE: WASHINGTON EYE ASSOCIATES, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristOP1000037DC

General Provider Information

NPI Number : 1053519884
Entity Type Code : Organization
Provider Name (Legal Business Name) : WASHINGTON EYE ASSOCIATES, PLLC
Provider Business Mailing Address
First Line : 1717 RHODE ISLAND AVE NW
Second Line : SUITE 210
City : WASHINGTON
State : DC
Zip : 20036-3023
Country : US
Telephone Number : 202-558-3824
Fax Number : 202-558-7517
Provider Business Practice Location Address
First Line : 1717 RHODE ISLAND AVE NW
Second Line : SUITE 210
City : WASHINGTON
State : DC
Zip : 20036-3023
Country : US
Telephone Number : 202-558-3824
Fax Number : 202-558-7517
Authorized Official
Title or Position : OWNER
Name : DR. JOHN E LAMOTHE
Credential : O.D.
Telephone Number : 202-558-3824
Provider Enumeration Date : 07/03/2007
Last Update Date : 03/03/2009

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Directions to “WASHINGTON EYE ASSOCIATES, PLLC ” Practice Location

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