NPI 1407106669

Eyedrop

Organisation Health Maintenance Organization Washington, DC

Practice location

Address: 2220 Martin Luther King Jr Ave SE, Washington, DC 20020-5734
Phone: (202) 678-2020
Mailing address: 2220 Martin Luther King Jr Ave Washington, Washington, DC 20020

Authorised official

Name: Tracy Aarons
Title: Gm
Phone: (202) 678-2020

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 400312001219 (DC)

Other Health Maintenance Organization providers in District of Columbia →

Registry record

NPI: 1407106669
Entity type: Organization
NPI issued: 14 Sep 2012
Record last updated: 14 Sep 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.