Active NPI
David Reid Domnitch, O.D.
- Optometrist
- Washington, DC
National Provider Identifier
1871641530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OP 459
- Practice address
- 614 17TH St NW
Washington, DC 20006-4802 - Phone
- (202) 298-6878
- Fax
- (202) 347-7180
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OP 459 | DC | Primary |
Addresses
Primary practice location
614 17TH St NW
Washington, DC 20006-4802
Mailing address
5413 Mount Greenwich CT
Burke, VA 22015-2148
Phone (703) 978-8320
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP 459 | DC | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Source DC Focus Eyecare Center P.C. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Washington, DC
- NPI 1275624330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1871641530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5413 MOUNT GREENWICH CT",
"city": "BURKE",
"state": "VA",
"postal_code": "220152148",
"telephone_number": "703-978-8320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "614 17TH ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200064802",
"telephone_number": "202-298-6878",
"fax_number": "202-347-7180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMNITCH",
"first_name": "DAVID",
"middle_name": "REID",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DC",
"license": "OP 459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
- Steven Dominguez
- Dominique Transportation Services, LLC (Innovative Medical Transport)
- Myrna Altagrace Dominique, MD, MBA
- Yuliya Anatolievna Domnina, MD
- Charles Domnisch, PT, DPT
- Jeanne Slora Domo Nejiotio
- Don Elliot Schwartz
- Daguse Donacin, NP
- Hillary Michelle Donahue, LGPC
- Katherine Elizabeth Donahue, PNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.