Organization Active NPI

Metropolitan Eye Care Center Associates

  • Ophthalmology Physician
  • Washington, DC
National Provider Identifier
1881736130
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
METROPOLITAN EYE CARE CENTER ASSOCIATES
Doing business as
GREATER NORTHEAST EYE CARE CENTER
Practice address
1647 Benning Rd NE Ste 102
Washington, DC 20002-4571
Phone
(202) 396-8200
Fax
(202) 396-5023
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Richard Larry DotsonNPI 1013019272
Title
Medical Director
Phone
(202) 396-8200

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 Primary

Addresses

Primary practice location

1647 Benning Rd NE Ste 102
Washington, DC 20002-4571

Mailing address

1647 Benning Rd NE Ste 102
Washington, DC 20002-4571
Phone (202) 396-8200

Other names 1

  • GREATER NORTHEAST EYE CARE CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070619000237 DC Part B Supplier - Clinic/Group Practice 8325147267 Receives reassigned benefits from 2 practitioners
Practice locations: Washington, DC

National Provider Directory

National Provider Directory
Tax ID family
Metro Eye Care Center2 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

1647 Benning Rd NE
Ste 102
Washington, DC 20002
Phone (202) 396-8200

Practitioners & affiliated clinicians

Practitioners 5

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": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881736130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024571",
            "telephone_number": "202-396-8200",
            "fax_number": "202-396-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE STE 102",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024571",
            "telephone_number": "202-396-8200",
            "fax_number": "202-396-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN EYE CARE CENTER ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "202-396-8200"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREATER NORTHEAST EYE CARE CENTER",
            "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 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.