Organization Active NPI

M&Mak Inc

  • Optometrist
  • Washington, DC
National Provider Identifier
1013331511
Registry record updated Feb 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP000016 Issued in DC
Legal business name
M&MAK INC
Practice address
801 Pennsylvania Ave NW
Washington, DC 20004-2615
Phone
(202) 783-5318
Fax
(202) 783-2020
NPI assigned
Feb 5, 2014
Last updated
Feb 5, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maureen J Kimmrth, O.D.
Title
President
Phone
(202) 783-5318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP000016 DC Primary

Addresses

Primary practice location

801 Pennsylvania Ave NW
Washington, DC 20004-2615

Mailing address

801 Pennsylvania Ave NW
Washington, DC 20004-2615
Phone (202) 783-5318

Other identifiers 1

IdentifierTypeStateIssuer
019338200MedicaidDC

National Provider Directory

National Provider Directory
Tax ID family
M Mak Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

801 Pennsylvania Ave NW
Washington, DC 20004
Phone (202) 783-5318

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391558400000",
    "number": "1013331511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PENNSYLVANIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200042615",
            "telephone_number": "202-783-5318",
            "fax_number": "202-783-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PENNSYLVANIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200042615",
            "telephone_number": "202-783-5318",
            "fax_number": "202-783-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&MAK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-05",
        "last_updated": "2014-02-05",
        "status": "A",
        "authorized_official_last_name": "KIMMRTH",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-783-5318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP000016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019338200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.