NPI 1104617414 · live from the CMS NPI Registry
Howard University Faculty Practice Plan
Ophthalmology in Washington, DC. National Provider Identifier 1104617414, active.
NPI record
| NPI | 1104617414 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 2041 Georgia Ave Nw # 2000, Washington, DC 20060 |
| Practice phone | 202-865-1257 |
| Mailing address | 2041 Georgia Ave Nw # 3400, Washington, DC 20060 |
| Enumerated | May 15, 2025 |
| Last updated | May 15, 2025 |
| Authorized official | Roberta Odindo, Enrollment Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.