PROVIDENCE OPTICIANS INC. NPI 1144468059

NPI Information

PROVIDENCE OPTICIANS, INC. is an eyewear supplier in Washington, DC. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. PROVIDENCE OPTICIANS, INC. NPI is 1144468059. The provider is registered as an organization entity type.

The provider's business location address is:

1802 11TH ST NW
WASHINGTON, DC
ZIP 20001-021
Phone: (202) 462-0055
Fax: (202) 462-2837

The provider's authorized official is Edward M Winslow .
The authorized official title is Owner/ President and has the following contact phone number (202) 462-0055.

The enumeration date for this NPI number is 1/30/2009 and was last updated on 1/30/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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