NPIMap

Organization Active NPI

Capital Eye Care LLC

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1548720394
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CAPITAL EYE CARE LLC
Practice address
1145 19TH St NW Ste 500
Washington, DC 20036-3715
Phone
(202) 833-1668
Fax
(202) 833-4698
NPI assigned
Mar 20, 2019
Last updated
Jul 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
April Cherisse Edwards
Title
Credentialing Manager
Phone
(301) 530-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1145 19TH St NW Ste 500
Washington, DC 20036-3715

Mailing address

6720A Rockledge Dr Ste 200
Bethesda, MD 20817-9915
Phone (301) 530-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190528000566 DC Part B Supplier - Clinic/Group Practice 4981947306 Receives reassigned benefits from 15 practitioners
2 other NPIs on this enrollment
Practice locations: Annandale, VA; Bethesda, MD; Washington, DC

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Capital Eye Care LLC2 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

6720A Rockledge Dr
Ste 200
Bethesda, MD 20817
Phone (300) 530-5200

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1548720394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720A ROCKLEDGE DR STE 200",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208179915",
            "telephone_number": "301-530-5200",
            "fax_number": "301-530-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 19TH ST NW STE 500",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200363715",
            "telephone_number": "202-833-1668",
            "fax_number": "202-833-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-20",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "APRIL",
        "authorized_official_middle_name": "CHERISSE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "301-530-5200"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "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 7, 2022; 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.