NPIMap

Organization Active NPI

Greater North East Eye Care CTN

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1194802199
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD20905 Issued in DC
Legal business name
GREATER NORTH EAST EYE CARE CTN
Practice address
1647 Benning Rd NE
Suite 102
Washington, DC 20002
Phone
(202) 396-8200
Fax
(202) 396-5023
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Larry Dotson, MD
Title
President Medical Director
Phone
(202) 396-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD20905 DC Primary

Addresses

Primary practice location

1647 Benning Rd NE
Suite 102
Washington, DC 20002

Mailing address

1647 Benning Rd NE
Suite 102
Washington, DC 20002
Phone (202) 396-8200

National Provider Directory

National Provider Directory
Tax ID family
Metro Eye Care Center2 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.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194802199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE",
            "address_2": "SUITE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20002",
            "telephone_number": "202-396-8200",
            "fax_number": "202-396-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE",
            "address_2": "SUITE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "20002",
            "telephone_number": "202-396-8200",
            "fax_number": "202-396-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER NORTH EAST EYE CARE CTN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "202-396-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD20905",
            "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 Aug 22, 2020; 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.