Vision Source DC Focus Eyecare Center P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION SOURCE DC FOCUS EYECARE CENTER P.C.

Practice address

614 17TH St NW
Washington, DC 20006-4802

Phone

(202) 298-6878

Fax

(202) 347-7180

NPI assigned

Sep 27, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Patricia Anne Shustock, O.D.

Title

Owner

Phone

(202) 298-6878

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David Reid Domnitch, O.D.

  • Optometrist
  • Washington, DC
  • NPI 1871641530
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1275624330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 17TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200064802",
            "telephone_number": "202-298-6878",
            "fax_number": "202-347-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 17TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200064802",
            "telephone_number": "202-298-6878",
            "fax_number": "202-347-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE DC FOCUS EYECARE CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "SHUSTOCK",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-298-6878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Washington, DC
• Providers in Washington, DC by specialty
• Optometrist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; 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.