NPIMap

Organization Active NPI

Washington National Eye Center

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1437175684
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
52132XXXX53004998 Issued in DC
Legal business name
WASHINGTON NATIONAL EYE CENTER
Practice address
110 Irving Street, NW
Suite 1a-19
Washington, DC 20010-2976
Phone
(202) 877-5329
Fax
(202) 877-7743
NPI assigned
Jul 14, 2006
Last updated
Nov 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Dr. Jay M Lustbader, MDNPI 1720088545
Title
Chairman and President
Phone
(202) 877-5329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 52132XXXX-53004998 DC
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X 52132XXXX53004998 DC Primary

Addresses

Primary practice location

110 Irving Street, NW
Suite 1a-19
Washington, DC 20010-2976

Mailing address

110 Irving Street, NW
Suite 1a-19
Washington, DC 20010-2976
Phone (202) 877-5329

Other identifiers 4

IdentifierTypeStateIssuer
486621500OtherMDMARYLAND MEDICAID
486621500MedicaidMD
022986500MedicaidDC
9935OtherDCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040401000267 DC Part B Supplier - Clinic/Group Practice 2264424043 Receives reassigned benefits from 73 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory
Tax ID family
Washington Hospital 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.

Locations

110 Irving St NW
#1A191A
Washington, DC 20010

110 Irving St NW
Rm 1A
Washington, DC 20010
Phone (202) 877-6519

110 Irving St NW
Rm 1A19
Washington, DC 20010
Phone (202) 877-6519

110 Irving St NW
Ste 1A
Washington, DC 20010

110 Irving St NW
Ste 1A119
Washington, DC 20010

110 Irving St NW
Ste 1A19
Washington, DC 20010
Phone (202) 877-5329

110 Irving St NW
Ste IA19
Washington, DC 20010

650 Pennsylvania Ave SE
Ste 270
Washington, DC 20003
Phone (202) 544-1900

5711 Sarvis Ave
Ste 402
Riverdale, MD 20737
Phone (301) 277-4844

9801 Georgia Ave
Ste 340
Silver Spring, MD 20902
Phone (202) 362-4545

Practitioners & affiliated clinicians

Practitioners 119

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.

View all 119

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1437175684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 IRVING STREET, NW",
            "address_2": "SUITE 1A-19",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102976",
            "telephone_number": "202-877-5329",
            "fax_number": "202-877-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 IRVING STREET, NW",
            "address_2": "SUITE 1A-19",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102976",
            "telephone_number": "202-877-5329",
            "fax_number": "202-877-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON NATIONAL EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "LUSTBADER",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHAIRMAN AND PRESIDENT",
        "authorized_official_telephone_number": "202-877-5329",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "52132XXXX-53004998",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "52132XXXX53004998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND MEDICAID",
            "identifier": "486621500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "486621500",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022986500",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "9935",
            "state": "DC"
        }
    ],
    "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 Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.