M & Mak Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP1000016 Issued in DC

Legal business name

M & MAK INC.

Practice address

801 Pennsylvania Ave NW
Washington, DC 20004-2615

Phone

(202) 783-5318

Fax

(202) 783-2020

NPI assigned

Dec 23, 2013

Last updated

Feb 3, 2014By 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

Dr. Maureen J Kimmeth, O.D.NPI 1619009693

Title

Ceo/Pres

Phone

(202) 783-5318

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Washngton Eyecare / Freeds Optical Other name

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Tax ID family

M Mak Inc2 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.

• M&Mak Inc

  • Optometrist
  • Washington, DC
  • NPI 1013331511
  NPD tax ID

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.

• Maureen Judith Kimmeth, O.D.

  • Optometrist
  • Washington, DC
  • NPI 1619009693
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1538580212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 PENNSYLVANIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200042615",
            "telephone_number": "202-783-5318",
            "fax_number": "202-783-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 PENNSYLVANIA AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200042615",
            "telephone_number": "202-783-5318",
            "fax_number": "202-783-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & MAK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "KIMMETH",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO/PRES",
        "authorized_official_telephone_number": "202-783-5318",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP1000016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019338200",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washngton Eyecare / Freeds Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Helena Patricia Lysandrou
• Charee Lytle
• Linda Risser Lytle, PH.D.
• M & I Home Health Care,LLC
• M & M Community Services, LLC
• M Management Group LLC
• M Management Group LLC
• M Management Group LLC
• M Management Group LLC
• M Management Group, LLC

• 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 Feb 3, 2014; 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.