PROVIDENCE OPTICIANS, INC.; NPI #1144468059

Contact Information

PROVIDENCE OPTICIANS, INC.

1802 11TH ST NW
WASHINGTON, DC 20001-5021

Phone: 202-462-0055
Fax: 202-462-2837
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for PROVIDENCE OPTICIANS, INC.

NPI Number 1144468059

LBN Legal business name PROVIDENCE OPTICIANS, INC.

Authorized official EDWARD WINSLOW - (OWNER/ PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/30/2009

Last updated 01/30/2009 - About 17 years ago

Identifiers

DC	Medicaid	016707300
DC	Other	1538298906	BLOCK VISION

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PROVIDENCE OPTICIANS, INC.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for PROVIDENCE OPTICIANS, INC.

Reviews for PROVIDENCE OPTICIANS, INC.