Provider Demographics
NPI:1053519884
Name:WASHINGTON EYE ASSOCIATES, PLLC
Entity type:Organization
Organization Name:WASHINGTON EYE ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:E
Authorized Official - Last Name:LAMOTHE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:202-558-3824
Mailing Address - Street 1:1717 RHODE ISLAND AVE NW
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20036-3023
Mailing Address - Country:US
Mailing Address - Phone:202-558-3824
Mailing Address - Fax:202-558-7517
Practice Address - Street 1:1717 RHODE ISLAND AVE NW
Practice Address - Street 2:SUITE 210
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-3023
Practice Address - Country:US
Practice Address - Phone:202-558-3824
Practice Address - Fax:202-558-7517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-03
Last Update Date:2009-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCOP1000037152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty