EDWARD THEODORE WASHINGTON NPI 1104211283

NPI Information

  • NPI: 1104211283
  • Provider Name: EDWARD THEODORE WASHINGTON
  • Classification: Ophthalmology - 207WX0009X
  • Specialization: Glaucoma Specialist
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4045 WETHERBURN WAY STE 1
    NORCROSS, GA
    ZIP 30092
  • Phone: (770) 285-7910

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NPI Details

Edward Theodore Washington is a glaucoma specialist ophthalmology in Norcross, GA with 11 years of experience. The provider is an ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions. Edward Theodore Washington NPI is 1104211283. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MOREHOUSE SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

4045 WETHERBURN WAY STE 1
NORCROSS, GA
ZIP 30092-611
Phone: (770) 285-7910

The NPI 1104211283 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Imaging of optic nerve (HCPCS:92133)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Ultrasound scan of cornea to determine thickness (HCPCS:76514)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Measurement of corneal curvature and depth of eye (HCPCS:92136)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient complete exam of visual system (HCPCS:92004)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Imaging of retina (HCPCS:92134)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 4/5/2015 and was last updated on 8/30/2023.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology312393LOUISIANANo
2207W00000XOphthalmology57027483OHIONo
3207W00000XOphthalmologyTP126KENTUCKYNo
4207WX0009XOphthalmologyGlaucoma Specialist91739GEORGIAYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1300039071MEDICAIDINDIANA
27100669250MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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