Active NPI
John Edward Lamothe, O.D.
- Optometrist
- Washington, DC
National Provider Identifier
1164551651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1000037
- Practice address
- 1717 Rhode Island Ave NW
Suite 210
Washington, DC 20036 - Phone
- (202) 558-3824
- NPI assigned
- Mar 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1000037 | DC | Primary |
Addresses
Primary practice location
1717 Rhode Island Ave NW
Suite 210
Washington, DC 20036
Mailing address
3303 Water St NW Unit 4L
Washington, DC 20007-3576
Phone (202) 986-6685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1000037 | DC | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1164551651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 WATER ST NW UNIT 4L",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200073576",
"telephone_number": "202-986-6685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 RHODE ISLAND AVE NW",
"address_2": "SUITE 210",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20036",
"telephone_number": "202-558-3824"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMOTHE",
"first_name": "JOHN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-02",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DC",
"license": "1000037",
"primary": true
}
],
"identifiers": [],
"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 Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.