Organization Active NPI

Gregory Butler, MD, PC.

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1750477600
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD30132 Issued in DC
Legal business name
GREGORY BUTLER, MD, PC.
Doing business as
Eye Physicians & Surgeons of DC.
Practice address
1647 Benning Rd NE
Suite 205
Washington, DC 20002-4569
Phone
(202) 397-2800
Fax
(202) 397-1304
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Gregory A. Butler, M.D.NPI 1376726091
Title
Director
Phone
(202) 397-2800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MD30132 DC Primary

Addresses

Primary practice location

1647 Benning Rd NE
Suite 205
Washington, DC 20002-4569

Mailing address

1647 Benning Rd NE
Suite 205
Washington, DC 20002-4569
Phone (202) 397-2800

Other identifiers 6

IdentifierTypeStateIssuer
G8170001OtherDCCAREFIRST
P00059551OtherDCRAILROAD
2099146OtherDCUNITEDHEALTHCARE
385082OtherDCMAMSI
MD30132OtherDCSTATE MEDICAL LICENSE
4115071OtherDCCIGNA

Other names 1

  • Eye Physicians & Surgeons of DC. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040413000073 DC Part B Supplier - Clinic/Group Practice 0143214197 Receives reassigned benefits from 1 practitioner
Practice locations: Washington, DC

National Provider Directory

National Provider Directory

Locations

1647 Benning Rd NE
Ste 205
Washington, DC 20002
Phone (202) 397-2800

Practitioners & affiliated clinicians

Practitioners 1

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1750477600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE",
            "address_2": "SUITE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024569",
            "telephone_number": "202-397-2800",
            "fax_number": "202-397-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE",
            "address_2": "SUITE 205",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024569",
            "telephone_number": "202-397-2800",
            "fax_number": "202-397-1304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY BUTLER, MD, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "202-397-2800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "DC",
            "license": "MD30132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "G8170001",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00059551",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "2099146",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "385082",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "MD30132",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4115071",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Physicians & Surgeons of DC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 2023; 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.