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

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: October 18, 2026.

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
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Other Names 1

Former Legal Business NameProvidence Opticians Inc

Other Identifiers 4

Medicaid016707300DC
Other1538298906DC · Block Vision
Other61444DC · Davis Vision
Medicare UPIN0732620001DC

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Providence Opticians Designer Eyewear Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Providence Opticians Designer Eyewear Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ihuoma Nwajei, O.D.
Optometry
NPI 1356466411
8902 DANGERFIELD RD
Clinton, MD 20735
(202) 737-2262
✔ PECOS13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Providence Opticians Designer Eyewear Inc enrolled in Medicare?

Yes. Providence Opticians Designer Eyewear Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Providence Opticians Designer Eyewear Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Providence Opticians Designer Eyewear Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.