HERO VISION OF DC PLLC (NPI# 1669010989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669010989 |
| Entity Type | Organization |
| Organization Name | HERO VISION OF DC PLLC |
| Practice Address |
1060 Brentwood Rd Ne Ste B-1 Washington DC 20018-1052 |
| Mailing Address |
2221 E Bijou St Ste 100 Colorado Springs CO 80909-8009 |
| Practice Telephone | 2022694746 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Authorized Official Name | SHAUN URBANOZO (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7195761850 |
| Is Organization Subpart | Y |
| Parent Organization Name | HERO VISION OF DC PLLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Adventure Dental and Vision | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124666441 | Hero Vision of Dc Pllc | Optometrist | 3946 Minnesota Ave Ne, Washington, DC 20019-2661 | 2019-12-17 |
| 1316585631 | Hero Vision of Dc Pllc | Optometrist | 3401 Georgia Ave Nw, Washington, DC 20010-2501 | 2019-12-17 |
| Street Address |
1060 BRENTWOOD RD NE STE B-1 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20018-1052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013115542 | Yvette Odetta Williams | Dentist | 1060 Brentwood Rd Ne Ste B-1, Washington, DC 20018 | 2007-07-05 |
| 1366980492 | Poorna Phaltankar | Dentist | 1060 Brentwood Rd Ne Ste B-1, Washington, DC 20018-1052 | 2017-02-09 |
| 1386010320 | Dina Khalf-allah | Dentist | 1060 Brentwood Rd Ne Ste B-1, Washington, DC 20018-1052 | 2015-08-13 |
| 1700267523 | Kolade Adeola Akinwande | Dentist | 1060 Brentwood Rd Ne Ste B-1, Washington, DC 20018-1052 | 2015-06-17 |
| 1801180054 | Payal Patel | Dentist | 1060 Brentwood Rd Ne Ste B-1, Washington, DC 20018-1052 | 2011-06-06 |
| 1255526802 | Bhavani Parvathaneni | Dentist | 1060 Brentwood Rd Ne Ste B-1, Washington, DC 20018 | 2007-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104438712 | Veronica Anita Rose | Technician | 3005 Bladensburg Rd Ne Apt 306, Washington, DC 20018 | 2020-08-17 |
| 1851910293 | Justina Christina Okougbo | Nurse Practitioner | 1242 12th St Ne Washington D.c., Washington, DC 20018 | 2020-04-15 |
| 1821629304 | Claire Cinque | Physical Therapy Assistant | 2601 18th Street Nw, Washington, DC 20018 | 2020-02-03 |
| 1669025474 | Chase Associates, LLC | Community/Behavioral Health | 2300 Washington Pl. Ne, Suite 423, Washington, DC 20018 | 2019-07-20 |
| 1407328446 | Howard Mabry | Psychologist | 2218 Rhode Island Avenue, Washington, DC 20018 | 2018-12-31 |
| 1760968697 | Velma Enjie Tebo | Home Health Aide | 1511 Franklin St Ne Apt 510, Washington, DC 20018 | 2018-07-13 |
| 1346744141 | Jacques Vanel Siewe Mbouwe | Home Health Aide | 3508 Commodore Joshua Barney Drive N.e, Apt #t3, Washington, DC 20018 | 2018-03-19 |
| 1376050658 | Marlena Hunt | Technician | 2504 10th St. Ne, Apt 404, Washington, DC 20018 | 2018-01-08 |
| 1245745926 | Mirabel Timben Mbah | Home Health Aide | 2010 Rhode Island Ave, 2nd Floor, North East, DC 20018 | 2017-12-04 |
| 1356855332 | St Judes Dental Clinic | Dentist | 2802 Rhode Island Ave Ne # 1, Washington, DC 20018 | 2017-11-28 |
| Find all providers in zip 20018 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457997231 | Erik Johnson-saint Paine | Optometrist | 1924 8th St Nw Ste 105, Washington, DC 20001-3457 | 2019-11-27 |
| 1518512078 | Tahira Raja | Optometrist | 1602 L St Nw Ste 400, Washington, DC 20036-5691 | 2019-08-01 |
| 1942799234 | Jenna O'brien O.d. Pllc | Optometrist | 1038 S White Sands Dr, Washington, UT 84780-8202 | 2018-05-02 |
| 1609394931 | Onevision, Inc. | Optometrist | 3620 South Dakota Ave Ne, Washington, DC 20018 | 2017-09-07 |
| 1366963092 | Evelyn Dearing | Optometrist | 3418 Wisconsin Avenue Nw, Washington, DC 20016 | 2017-07-03 |
| 1477083772 | Alexander David Mcclure | Optometrist | 851 E 5th St Ste 112, Washington, MO 63090-3128 | 2017-06-19 |
| 1629504535 | Onyekachukwu Illoh | Optometrist | 1924 8th St Nw, Washington, DC 20001-3286 | 2017-05-11 |
| 1821459082 | Myeyedr Optometry of Dc, LLC | Optometrist | 3418 Wisconsin Ave Nw, Washington, DC 20016 | 2016-03-16 |
| 1942674197 | Jennifer D Luckie | Optometrist | 1016 16th St Nw Bsmt Ll, Washington, DC 20036-5729 | 2015-11-25 |
| 1891170494 | Keith Versteegden | Optometrist | 3620 S Dakota Ave Ne, Washington, DC 20018-3026 | 2015-07-23 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20018 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.