PROVIDENCE OPTICIANS DESIGNER EYEWEAR INC


Address: 3510 12th St Ne, Washington, DC 20017-2544
Phone: 2025260300

PROVIDENCE OPTICIANS DESIGNER EYEWEAR INC (NPI# 1790923605) 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) 1790923605
Entity Type Organization
Organization Name PROVIDENCE OPTICIANS DESIGNER EYEWEAR INC
Other Organization Name PROVIDENCE OPTICIANS INC
Practice Address 3510 12th St Ne
Washington
DC 20017-2544
Practice Telephone 2025260300
Practice Fax Number 2025260233
Mailing Telephone 2025260300
Mailing Fax Number 2025260233
Enumeration Date 2009-01-30
Last Update Date 2013-01-24
Authorized Official Name KYLE E. WINSLOW (PRESIDENT)
Authorized Official Telephone 2024620055
Authorized Official Credential OPTICIAN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332H00000X Eyewear Supplier (Equipment, not the service) Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
DC 016707300 05
DC BLOCK VISION 1538298906 01
DC DAVIS VISION 61444 01

Other Provider/Organization Names

Other Name Type Code
Providence Opticians Inc Former Legal Business Name - Organization

Office Location

Street Address 3510 12TH ST NE
City WASHINGTON
State DC
Zip Code 20017-2544

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
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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 332H00000X
Grouping Suppliers
Classification Eyewear Supplier (Equipment, not the service)

Taxonomy Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760909014 Jand. Inc. Eyewear Supplier (Equipment, not the service) 3225 M St Nw, Washington, DC 20007-3616 2017-08-28
1912432436 Mcclain Eyewear Eyewear Supplier (Equipment, not the service) 1514 U Street Nw, Washington, DC 20009 2017-04-21
1497294730 Visionworks, Inc. Eyewear Supplier (Equipment, not the service) 2460 Market Street Ne, Suite 705, Washington, DC 20018 2017-02-20
1366734527 Visionworks, Inc. Eyewear Supplier (Equipment, not the service) 120 Trinity Point Dr, Washington, PA 15301 2011-05-06
1861626988 Focal Point Optical Inc Eyewear Supplier (Equipment, not the service) 7828 Eastern Ave Nw Ste 101, Washington, DC 20012-1303 2009-05-04
1912140757 Coventry Optical, P.C. Eyewear Supplier (Equipment, not the service) 10 Brass Castle Rd, Washington, NJ 07882-6309 2009-04-09
1689853814 Luxottica Retail North America Inc Eyewear Supplier (Equipment, not the service) 1130 Connecticut Ave, Ste #110, Washington, DC 20036-3904 2007-10-24
1417002858 Bauman and Stoleru Mdpc Eyewear Supplier (Equipment, not the service) 4119 Connecticut Ave Nw, Washington, DC 20008-1155 2007-01-24
1245384932 For Eyes Optical of Pa Eyewear Supplier (Equipment, not the service) 1725 K St Nw, Washington, DC 20006-1401 2007-01-22
1538211412 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 1500 W Chestnut St Ste 1, Washington, PA 15301 2007-01-18
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Competitor

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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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