Healthcare Provider Details

I. General information

NPI: 1396975157
Provider Name (Legal Business Name): COLUMBIA EYE ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2009
Last Update Date: 09/20/2022
Certification Date: 09/20/2022
Deactivation Date: 08/05/2009
Reactivation Date: 08/10/2009

III. Provider practice location address

2440 M ST NW SUITE 516
WASHINGTON DC
20037
US

IV. Provider business mailing address

2440 M ST NW SUITE 516
WASHINGTON DC
20037
US

V. Phone/Fax

Practice location:
  • Phone: 202-659-0066
  • Fax: 202-466-2933
Mailing address:
  • Phone: 202-659-0066
  • Fax: 202-466-2933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RAJIV LUTHRA
Title or Position: PRESIDENT AND OWNER
Credential: M.D.
Phone: 202-659-0066