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General NPI Number Information
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NPI Number | 1790661312
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Entity Type | Organization
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Legal Business Name | PREVENTION OF BLINDNESS SOCIETY OF METROPOLITAN WASHINGTON INC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 105 S ALFRED ST
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City | ALEXANDRIA
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State | VA
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Zip | 22314-3001
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Country | US
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Telephone | 202-234-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 415 2ND ST NE STE 200
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City | WASHINGTON
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State | DC
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Zip | 20002-4900
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Country | US
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Telephone | 202-234-1010
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CAREN FORSTEN
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Credential |
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Telephone | 202-234-1010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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