Organization
GREATER NORTH EAST EYE CARE CTN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LARRY DOTSON MD (PRESIDENT MEDICAL DIRECTOR)
(202) 396-8200
Entity
Organization
Contact information
Practice address
1647 BENNING RD NE, SUITE 102, WASHINGTON, DC 20002
(202) 396-8200
(202) 396-5023
Mailing address
1647 BENNING RD NE, SUITE 102, WASHINGTON, DC 20002
(202) 396-8200
(202) 396-5023
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD20905
DC
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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