Healthcare Provider Details

I. General information

NPI: 1841459989
Provider Name (Legal Business Name): APEX OPTICAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2008
Last Update Date: 08/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 WISCONSIN AVE NW
WASHINGTON DC
20016-2143
US

IV. Provider business mailing address

4200 WISCONSIN AVE NW
WASHINGTON DC
20016-2143
US

V. Phone/Fax

Practice location:
  • Phone: 202-244-1308
  • Fax: 202-244-2050
Mailing address:
  • Phone: 202-244-1308
  • Fax: 202-244-2050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. MARK DAVIS
Title or Position: MANAGER
Credential:
Phone: 202-244-1308