Edmonds Optician of Spring Valley Inc.

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

EDMONDS OPTICIAN OF SPRING VALLEY INC.

Practice address

4900 Massachusetts Ave NW
Washington, DC 20016-4358

Phone

(202) 237-0070

Fax

(202) 237-9187

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Samuel G. Tate

Title

President

Phone

(202) 237-0070

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700945979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 MASSACHUSETTS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164358",
            "telephone_number": "202-237-0070",
            "fax_number": "202-237-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 MASSACHUSETTS AVE NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200164358",
            "telephone_number": "202-237-0070",
            "fax_number": "202-237-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDS OPTICIAN OF SPRING VALLEY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "202-237-0070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPPLIER NUMBER",
            "identifier": "3888110001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Edmond, MA CCC SLP
• Erik James Edmond
• John Edmond
• Patrick Edmond
• Tabitha K Edmond
• Sherry Edmonds-Clemons, MSW, LCSW-C
• Cheryl F Edmonds, MD
• Jacinta Shenelle Edmonds
• Javon Edmonds
• Keisha C Edmonds

• Optician in Washington, DC
• Providers in Washington, DC by specialty
• Optician in District of Columbia

• 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.