DIABETIC EYE & MACULAR DISEASE SPECIALISTS LLC


Address: 1160 Varnum St Ne, Suite 208, Washington, DC 20017-2107
Phone: 2023991616

DIABETIC EYE & MACULAR DISEASE SPECIALISTS LLC (NPI# 1225428865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225428865
Entity Type Organization
Organization Name DIABETIC EYE & MACULAR DISEASE SPECIALISTS LLC
Practice Address 1160 Varnum St Ne
Suite 208
Washington
DC 20017-2107
Practice Telephone 2023991616
Practice Fax Number 8662655635
Mailing Telephone 2023991616
Mailing Fax Number 8662655635
Enumeration Date 2015-02-04
Last Update Date 2015-03-18
Authorized Official Name JEEVAN R MATHURA II (SOLE OWNER)
Authorized Official Telephone 3017920074
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology Allopathic & Osteopathic Physicians

Office Location

Street Address 1160 VARNUM ST NE
SUITE 208
City WASHINGTON
State DC
Zip Code 20017-2107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619975349 Edward Anthony Rankin Orthopaedic Surgery 1160 Varnum St Ne, 312, Washington, DC 20017-2107 2005-07-07
1275150666 Abena Ameyaa Effah Habia Social Worker 1160 Varnum St Ne, Washington, DC 20017-2107 2020-07-01
1669922423 Brittany Page Dietitian, Registered 1160 Varnum St Ne, Depaul 110, Washington, DC 20017-2107 2016-10-05
1396291480 Selam Zewoldi Physician Assistant 1160 Varnum St Ne, St Catherine's Hall, Suite 200, Washington, DC 20017-2107 2016-08-29
1841648292 Dental Professional Associates LLC Durable Medical Equipment & Medical Supplies 1160 Varnum St Ne, #006, Washington, DC 20017-2107 2016-05-26
1124496013 Phs Internal Medicine Dp311 Internal Medicine 1160 Varnum St Ne, Depaul 311, Washington, DC 20017-2107 2015-09-09
1457735029 Personalized Spine and Pain Care Clinic/Center 1160 Varnum St Ne, Suite 212, Washington, DC 20017-2107 2015-07-14
1457730244 Phs Gen Surg Dp306 Surgery 1160 Varnum St Ne, Depaul 306, Washington, DC 20017-2107 2015-05-26
1336532035 Erin Keehan Nurse Practitioner 1160 Varnum St Ne, Suite 100, Washington, DC 20017-2107 2015-03-05
1730571530 Rachel Merton Nurse Practitioner 1160 Varnum St Ne, Suite 312, Washington, DC 20017-2107 2015-03-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588215479 Janet Achankeng Folem Psychologist 7100 Varnum St Ne, Suit 218, Washington, DC 20017 2019-09-23
1013475284 Raphaelia Agnes Johnson-phillips Technician 440 Taylor St. Ne Building B Apt 22, Washington Dc, DC 20017 2019-03-06
1528551413 Harpreet Saluja Student in an Organized Health Care Education/Training Program 1150 Varnum St Ne, Providence Hospital Im Department, Washington, DC 20017 2018-06-14
1134638042 Jane Hayashi-kim Speech-Language Pathologist 3910 9th St Ne, Apartment 3, Washington, DC 20017 2017-09-22
1346766102 Aaliyah Gabrielle Jones Technician 611edgewood Ne, Washington, DC 20017 2017-08-14
1417479197 Javalin Singh Home Health Aide Hsc Pediatric Center 1731 Bunker Hill Rd, Washington, DC 20017 2017-07-13
1386174175 Genevieve Wells Home Health Aide 601 Edgewood St. Ne, Apt 706, Washington, DC 20017 2017-06-14
1487183810 Valerie Anne Pierre Student in an Organized Health Care Education/Training Program 1150 Varnum Street, N.e., Acc 209, Washington, DC 20017 2017-06-08
1639600984 Liliana Tatum Counselor 1428 Hamlin Street Ne, Washington, DC 20017 2017-03-27
1750835435 Marie Hortense Mabou Sando Home Health Aide 1416 9th Street Nwdc, Washington, DC 20017 2016-08-10
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548720394 Capital Eye Care LLC Ophthalmology 1145 19th St Nw Ste 500, Washington, DC 20036-3715 2019-03-20
1689010779 Leonard Kogan Ophthalmology 2801 New Mexico Nw #320, Washington, DC 20007 2013-05-15
1588907299 Manal Peracha-riyaz Ophthalmology 1160 Varnum St Ne Ste 11, Washington, DC 20017 2013-04-01
1588906465 Musa R Abdelaziz Ophthalmology 660 Pennsylvania Ave. Se., 2nd Flr, Washington, DC 20110 2013-03-19
1538426051 Frank S. Ashburn IIi Ophthalmology 4910 Massachusetts Ave Nw Ste 21, Washington, DC 20016 2012-04-20
1750678413 Jonca Camille Bull Ophthalmology 1428 Juniper St Nw, Washington, DC 20012-1416 2011-07-01
1740576149 Mitchell Elliott Davis Ophthalmology 1601 North Portal Drive Nw, Washington, DC 20012-1012 2011-06-23
1639468960 Sophia Siyun Wong Ophthalmology 2150 Pennsylvania Ave Nw Ste 2a, Washington, DC 20037-3201 2011-04-07
1841520624 Ronald L Anderson, Md PC Ophthalmology 2041 Martin Luther King Jr Ave Se Ste 102, Washington, DC 20020-7033 2009-12-30
1669600649 Salman J Yousuf Ophthalmology 2041 Georgia Ave Nw Ste 2100, Washington, DC 20060-2514 2009-06-29
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City WASHINGTON
Zip Code 20017

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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