1. Home
  2. Directory
  3. Georgia
  4. Norcross
  5. Ophthalmology
  6. NPI Profile

EDWARD THEODORE WASHINGTON JR.
NPI 1104211283
Ophthalmology - Glaucoma Specialist in Norcross, GA

Active since April 05, 2015PECOS Enrolled
4045 WETHERBURN WAY STE 1, NORCROSS, GA 30092(770) 285-7910 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 30, 2023, Jun 6, 2023, Jun 16, 2020 and 2 more (5 updates tracked since 2019).

About Edward Theodore Washington Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD THEODORE WASHINGTON JR. (NPI 1104211283) is an individual glaucoma specialist in Norcross, Georgia, licensed in Georgia (91739) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104211283
Entity TypeIndividualMale
Primary Taxonomy207WX0009X
Provider Legal NameEDWARD THEODORE WASHINGTON JR.
Location Address4045 WETHERBURN WAY STE 1Norcross, GA 30092-4611
Mailing Address4045 Wetherburn Way Ste 1Norcross, GA 30092-4611 · (770) 285-7010
Phone(770) 285-7910
Sole ProprietorNo
Enumeration DateApril 5, 2015
Last NPPES UpdateAugust 30, 20235 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1104211283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License✔ Licensed in GA · 91739
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X · License 312393 (LA), 57027483 (OH), TP126 (KY)
4045 WETHERBURN WAY STE 1, Norcross, GA 30092
Open in Google Maps ↗

Other Identifiers 2

Medicaid300039071IN
Medicaid7100669250KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Theodore Washington Jr. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30092 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MOHAMED EID O.D.
Optometrist
4045 WETHERBURN WAY STE 1
NORCROSS, GA 30092
Gwinnett County (770) 441-1211
EID VISION INC
Optometrist
4045 WETHERBURN WAY STE 1
PEACHTREE CORNERS, GA 30092
Gwinnett County (770) 441-1211
PEACHTREE OPHTHALMOLOGY LLC
Ophthalmology
4045 WETHERBURN WAY STE 1
NORCROSS, GA 30092
Gwinnett County (770) 285-7910

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Washington's NPI number?

The NPI number for Edward Washington is 1104211283. It was assigned to this individual provider in the NPPES registry on April 5, 2015.

Where is Edward Washington located?

Edward Washington practices at 4045 Wetherburn Way Ste 1, Norcross, GA 30092. The listed phone number is (770) 285-7910.

What is Edward Washington's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Edward Washington enrolled in Medicare?

Yes. Edward Washington is registered in the Medicare PECOS enrollment system.

What insurance does Edward Washington accept?

Health plans from CareSource and Providence Health Plan list Edward Washington as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edward Washington was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.