Pennsylvania Avenue Optometry, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PENNSYLVANIA AVENUE OPTOMETRY, PLLC

Doing business as

My Eye Dr.

Practice address

50 Massachusetts Ave NE
Washington, DC 20002-4214

Phone

(202) 289-4111

Fax

(202) 289-4643

NPI assigned

Sep 1, 2010

Organization subpart

No

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

Authorized official

Name

Sue Healey

Title

President

Phone

(703) 847-8899

Specialties & licenses 1

Addresses

Other names 1

• My Eye Dr. Doing business as

Locations

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653264000000",
    "number": "1275840993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 MASSACHUSETTS AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024214",
            "telephone_number": "202-289-4111",
            "fax_number": "202-289-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNSYLVANIA AVENUE OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A",
        "authorized_official_last_name": "HEALEY",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-847-8899"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Eye Dr.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "My Eye Dr.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelton Raymond Penn, DDS
• Alice B Pennet, MSW
• David Pennington
• Diamond Pennington
• Sarah Helen Pennington, PA-C
• Pennsylvania Avenue Optometry, PLLC
• Pennsylvania Avenue Optometry, PLLC
• Sean Penny Ma LPC
• Bianca Penny
• Brittany Penny

• 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 May 23, 2022; 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.