MEDICARE: PREVENTION OF BLINDNESS SOCIETY OF METROPOLITAN WASHINGTON INC

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
1	152WL0500X	Low Vision Rehabilitation Optometrist
2	152W00000X	Optometrist

General Provider Information

NPI Number	:	1790661312
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREVENTION OF BLINDNESS SOCIETY OF METROPOLITAN WASHINGTON INC

Provider Business Mailing Address
First Line	:	415 2ND ST NE STE 200
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-4900
Country	:	US
Telephone Number	:	202-234-1010
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 S ALFRED ST
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-3001
Country	:	US
Telephone Number	:	202-234-1010
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	CAREN FORSTEN
Credential	:
Telephone Number	:	202-234-1010

Provider Enumeration Date	:	08/12/2025
Last Update Date	:	08/27/2025

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