Mid Atlantic Optical Supplies and Consultants LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MID ATLANTIC OPTICAL SUPPLIES AND CONSULTANTS LLC

Doing business as

District Eye Associates
Jems Optical

Practice address

1401 New York Ave NW
Washington, DC 20005-2102

Phone

(202) 638-4700

NPI assigned

Sep 3, 2025

Last updated

Oct 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephen Lobaugh, OD

Title

Optometrist/Partner

Phone

(202) 668-1106

Specialties & licenses 3

Addresses

Other names 2

• District Eye Associates Doing business as
• Jems Optical Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James M Holley Jr., O.D.

  • Optometrist
  • Washington, DC
  • NPI 1336279504
  NPD (past)

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

{
    "created_epoch": "1756857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1295615110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 NEW YORK AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052102",
            "telephone_number": "202-638-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 NEW YORK AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200052102",
            "telephone_number": "202-638-4700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5001 Wilson Ln Fl 3",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208142455",
            "country_code": "US",
            "telephone_number": "301-648-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MID ATLANTIC OPTICAL SUPPLIES AND CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-03",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "LOBAUGH",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OPTOMETRIST/PARTNER",
        "authorized_official_telephone_number": "202-668-1106",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "District Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jems Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinzo P. Mickle II, M.D.
• Nina Killie Mickle, MS, RD
• James Joseph Mickler, MD
• Gregory A Mickles
• Mid Atlantic Medicine LLC
• Mid-Atlantic Heart LLC
• Mid-Atlantic Podiatry Associates
• Valerie Middlebrooks, LICSW
• Middleton LLC
• Tammy Middleton-Walker

• 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 Oct 13, 2026; 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.