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MR. MIKE E. PELIVANIS LDO
NPI 1407997992
Technician/Technologist - Optician in Washington, DC

Active since February 09, 2007
4200 WISCONSIN AVE NW, WASHINGTON, DC 20016(202) 244-1308(202) 244-2050 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mike E. Pelivanis Ldo NPPES

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

MR. MIKE E. PELIVANIS LDO (NPI 1407997992) is an individual optician in Washington, District Of Columbia and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1407997992
Entity TypeIndividualMale
Primary Taxonomy156FX1800X
Provider Legal NameMR. MIKE E. PELIVANISCredential: LDO
Location Address4200 WISCONSIN AVE NWWashington, DC 20016-2143
Mailing Address4200 Wisconsin Ave NwWashington, DC 20016-2143 · (202) 244-1308 · Fax (202) 244-2050
Phone(202) 244-1308
Fax(202) 244-2050
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407997992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
4200 WISCONSIN AVE NW, Washington, DC 20016
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Other Identifiers 1

Medicare ID-Type Unspecified0753220001DC

Other Providers at the Same Location NPPES 20

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

DR. ROBERT SEAN MCDONOUGH M.D.
Legal Medicine
4200 WISCONSIN AVE NW, PMB 106-204
WASHINGTON, DC 20016
District of Columbia (860) 273-0123
HANIEH JAFARIEH
Student in an Organized Health Care Education/Training Program
4200 WISCONSIN AVE NW
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
DR. JOHN RICHARD REILLY M.D.
Emergency Medicine (Emergency Medical Services)
4200 WISCONSIN AVE NW, #223
WASHINGTON, DC 20016
District of Columbia (202) 466-1800
DR. ANN MARIE MARTIN MD
Student in an Organized Health Care Education/Training Program
4200 WISCONSIN AVE NW
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
SURUCHI BATRA
Pediatrics (Pediatric Gastroenterology)
4200 WISCONSIN AVE NW
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
JULIA FLEURY NP
Nurse Practitioner (Family)
4200 WISCONSIN AVE NW, 4TH FLOOR
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
AMI CRIST
Student in an Organized Health Care Education/Training Program
4200 WISCONSIN AVE NW, DEPT OF PEDIATRICS (4TH FLOOR)
WASHINGTON, DC 20016
District of Columbia (202) 243-3400
DR. LIDIA LOPISO HAILE MD
Student in an Organized Health Care Education/Training Program
4200 WISCONSIN AVE NW
WASHINGTON, DC 20016
District of Columbia (202) 243-3400

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 Mike Pelivanis's NPI number?

The NPI number for Mike Pelivanis is 1407997992. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Mike Pelivanis located?

Mike Pelivanis practices at 4200 Wisconsin Ave NW, Washington, DC 20016. The listed phone number is (202) 244-1308.

What is Mike Pelivanis's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Mike Pelivanis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.