Organization Active NPI

Optical Gallery Inc

  • Optometrist
  • Washington, DC
National Provider Identifier
1487729026
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OP1000042 Issued in DC
Legal business name
OPTICAL GALLERY INC
Practice address
1150 18TH St NW
Washington, DC 20036-3816
Phone
(202) 467-5555
Fax
(202) 452-1733
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Sam Khalil
Title
Manager
Phone
(202) 467-5555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OP1000042 DC Primary

Addresses

Primary practice location

1150 18TH St NW
Washington, DC 20036-3816

Mailing address

1150 18TH St NW
Washington, DC 20036-3816
Phone (202) 467-5555

National Provider Directory

National Provider Directory

Locations

1150 18th St NW
Washington, DC 20036
Phone (202) 467-5555

Practitioners & affiliated clinicians

Practitioners 2

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487729026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 18TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363816",
            "telephone_number": "202-467-5555",
            "fax_number": "202-452-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 18TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363816",
            "telephone_number": "202-467-5555",
            "fax_number": "202-452-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL GALLERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "202-467-5555",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000042",
            "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 Aug 22, 2020; 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.