Organization
EYEDROP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRACY AARONS L.O (GM)
(202) 678-2020
Entity
Organization
Contact information
Practice address
2220 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5734
(202) 678-2020
Mailing address
2220 MARTIN LUTHER KING JR AVE, WASHINGTON, WASHINGTON, DC 20020
(202) 678-2020
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
400312001219
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043343300
—
DC
Enumeration date
09/14/2012
Last updated
09/14/2012
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