Eye One Surgical Assoc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20210 Issued in DC

Legal business name

EYE ONE SURGICAL ASSOC

Practice address

3800 Reservoir Rd NW
PHC BLDG #Gl017
Washington, DC 20007-2113

Phone

(202) 339-0001

NPI assigned

Sep 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Yvonne Wilson-Umanzor, M.D.

Title

Owner

Phone

(202) 339-0001

Specialties & licenses 1

Addresses

Other names 1

• EYE ONE Doing business as

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/926/brand/1/csg/1/fhir/r4

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tadele Jembere, M.D.

  • Ophthalmology Physician
  • Washington, DC
  • NPI 1710064373
  Medicare reassignment NPD
• Deborah Yvonne Wilson, M.D.

  • Ophthalmology Physician
  • Riverdale, MD
  • NPI 1174578744

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1157328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720180276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 N ST SW",
            "address_2": "SUITE N616",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200244605",
            "telephone_number": "202-339-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 RESERVOIR RD NW",
            "address_2": "PHC BLDG #GL017",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200072113",
            "telephone_number": "202-339-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ONE SURGICAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILSON-UMANZOR",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-339-0001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "20210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE ONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patrick Allydai Pere Eyango
• Eycon LLC
• Eye Associates of Washington, DC PC
• Eye Central, PC
• Eye Core LLC
• Eye Street Dental Center
• Eye Street Optometry, PLLC
• Eyedrop
• Teimal Tosan Eyenuro
• Atim Eyere

• Ophthalmology Physician in Washington, DC
• Providers in Washington, DC by specialty
• Ophthalmology Physician 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.
• 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.