PROVIDENCE OPTICIANS DESIGNER EYEWEAR INC
NPI 1790923605
Eyewear Supplier in Washington, DC

Q: What is Providence Opticians Designer Eyewear Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Active since January 30, 2009

3510 12TH ST NE, WASHINGTON, DC 20017(202) 526-0300(202) 526-0233 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Providence Opticians Designer Eyewear Inc NPPES

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

PROVIDENCE OPTICIANS DESIGNER EYEWEAR INC (NPI 1790923605), doing business as Providence Opticians Inc, is a healthcare organization registered as an eyewear supplier in Washington, District Of Columbia and active in the NPI registry since January 2009. The organization lists Kyle E. Winslow, President, as its authorized official.

NPPES Registry Identity

NPI1790923605

Entity TypeOrganization

Primary Taxonomy332H00000X

Legal Business NamePROVIDENCE OPTICIANS DESIGNER EYEWEAR INC

Location Address3510 12TH ST NEWashington, DC 20017-2544

Mailing Address3510 12th St NeWashington, DC 20017-2544 · (202) 526-0300 · Fax (202) 526-0233

Phone(202) 526-0300

Fax(202) 526-0233

Organization SubpartNo

Authorized OfficialKyle E. WinslowPresident · (202) 462-0055

Enumeration DateJanuary 30, 2009

Last NPPES UpdateJanuary 24, 2013

✔ NPI 1790923605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers

Taxonomy Code332H00000X

Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

3510 12TH ST NE, Washington, DC 20017

Open in Google Maps ↗

Other Names 1

Former Legal Business NameProvidence Opticians Inc

Other Identifiers 4

Medicaid016707300DC

Other1538298906DC · Block Vision

Other61444DC · Davis Vision

Medicare UPIN0732620001DC

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 Providence Opticians Designer Eyewear Inc's NPI number?

The NPI number for Providence Opticians Designer Eyewear Inc is 1790923605. It was assigned to this organization in the NPPES registry on January 30, 2009. The provider was formerly known as Providence Opticians Inc.

Where is Providence Opticians Designer Eyewear Inc located?

Providence Opticians Designer Eyewear Inc is located at 3510 12th St NE, Washington, DC 20017. The listed phone number is (202) 526-0300.

What is Providence Opticians Designer Eyewear Inc's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

When was this NPI record last updated?

The NPPES record for Providence Opticians Designer Eyewear Inc was last updated on January 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.