MR. MIKE E. PELIVANIS (NPI# 1407997992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407997992 |
| Entity Type | Individual |
| Full Name | MR. MIKE E. PELIVANIS |
| Credential | LDO |
| Practice Address |
4200 Wisconsin Ave Nw Washington DC 20016-2143 |
| Practice Telephone | 2022441308 |
| Practice Fax Number | 2022442050 |
| Mailing Telephone | 2022441308 |
| Mailing Fax Number | 2022442050 |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| Street Address |
4200 WISCONSIN AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-2143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124061510 | John Richard Reilly | Emergency Medicine | 4200 Wisconsin Ave Nw, #223, Washington, DC 20016-2143 | 2006-06-14 |
| 1750919940 | Catherine Costa | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-01 |
| 1548822737 | Shruti Shekhar Gothoskar | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, Washington, DC 20016-2143 | 2019-07-08 |
| 1477013498 | Nathan Stephen Bryan | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, Washington, DC 20016-2143 | 2019-03-25 |
| 1215497169 | Mahak Chopra | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, Washington, DC 20016-2143 | 2019-03-25 |
| 1790245421 | Fumitaka Sugiguchi | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, Washington, DC 20016-2143 | 2019-03-20 |
| 1265991004 | Sherene Agama | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, Washington, DC 20016-2143 | 2019-03-19 |
| 1124513551 | Stephanie Rita Saaybi | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, (4th Floor), Washington, DC 20016 | 2018-06-27 |
| 1083109730 | Maria Kristina Ilse Kern | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-06-26 |
| 1629575741 | Saloni Bhatt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558791368 | Peter Akinsanya | Technician/Technologist | 727 Irving St Nw, Washington, DC 20010-1519 | 2013-11-14 |
| 1962755793 | New Vision Optica Inc | Technician/Technologist | 3431 14th St Nw, Suite #2, Washington, DC 20010-3459 | 2012-10-17 |
| 1649592965 | America's Best Contacts & Eyeglasses | Technician/Technologist | 844 W Telegraph St Ste 3, Washington, UT 84780-1786 | 2010-03-01 |
| 1952502734 | Kenneth Robert Preston | Technician/Technologist | 1516 U Street Nw, Lower Level, Washington, DC 20009-8004 | 2007-05-30 |
| 1720208093 | America's Best Contacts & Eyeglasses | Technician/Technologist | 1060 Brentwood Ave Ne, Suite B-3, Washington, DC 20018 | 2007-04-27 |
| 1902961733 | Wal-mart Stores East, Lp | Technician/Technologist | 100 Bypass 50 Plaza, Washington, IN 47501 | 2006-12-22 |
| 1144381781 | Wal-mart Stores, Inc. | Technician/Technologist | 1701 Pearson Dr., Washington, MO 63090 | 2006-12-13 |
| 1841848827 | Chesapeake Eye Care & Laser Center LLC | Technician/Technologist | 1160 Varnum St Ne Ste 11, Washington, DC 20017-2110 | 2019-09-03 |
| 1922543099 | Jems Optical, LLC | Technician/Technologist | 1401 New York Ave Nw, Washington, DC 20005-2102 | 2016-12-28 |
| 1801265020 | Wal-mart Stores East, Lp | Technician/Technologist | 310 Riggs Rd Ne, Washington, DC 20011-2534 | 2015-09-17 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
Please comment or provide details below to improve the information on MR. MIKE E. PELIVANIS.
| 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.