Organization Active NPI

Idoc Optical P C

  • Optometrist
  • Washington, DC
National Provider Identifier
1285826255
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1000033 Issued in DC
Legal business name
IDOC OPTICAL P C
Practice address
702 7TH St NW
Washington, DC 20001-3716
Phone
(202) 347-7990
Fax
(202) 347-7992
NPI assigned
Aug 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Dr. Zitta Rezvani
Title
Optometrist
Phone
(202) 347-7990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OP1000033 DC Primary

Addresses

Primary practice location

702 7TH St NW
Washington, DC 20001-3716

Mailing address

702 7TH St NW
Washington, DC 20001-3716
Phone (202) 347-7990

National Provider Directory

National Provider Directory

Locations

702 7th St NW
Washington, DC 20001
Phone (202) 347-7990

923 F St NW
Washington, DC 20004
Phone (202) 347-7990

Practitioners & affiliated clinicians

Practitioners 1

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": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1285826255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 7TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013716",
            "telephone_number": "202-347-7990",
            "fax_number": "202-347-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 7TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200013716",
            "telephone_number": "202-347-7990",
            "fax_number": "202-347-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDOC OPTICAL P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "REZVANI",
        "authorized_official_first_name": "ZITTA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "202-347-7990",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000033",
            "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 Jul 22, 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.