# GREATER NORTH EAST EYE CARE CTN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194802199
- **Authorized official:** RICHARD LARRY DOTSON MD (PRESIDENT MEDICAL DIRECTOR)
- **Authorized official phone:** (202) 396-8200

## Contact information

- **Practice address:** 1647 BENNING RD NE, SUITE 102, WASHINGTON, DC 20002
- **Practice address phone:** (202) 396-8200
- **Practice address fax:** (202) 396-5023
- **Mailing address:** 1647 BENNING RD NE, SUITE 102, WASHINGTON, DC 20002
- **Mailing address phone:** (202) 396-8200
- **Mailing address fax:** (202) 396-5023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | MD20905 | DC | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/22/2020