NPI 1265995492 · live from the CMS NPI Registry
Justin Daniel Shortell, M.D.
Ophthalmology, Glaucoma Specialist in Washington, DC. National Provider Identifier 1265995492, active.
NPI record
| NPI | 1265995492 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology, Glaucoma Specialist 207WX0009X |
| Practice location | 4910 Massachusetts Ave Nw, Ste 21, Washington, DC 20016 |
| Practice phone | 202-686-6700 |
| Enumerated | April 14, 2019 |
| Last updated | September 18, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology | 207W00000X | 0101281873 (VA) |
| Ophthalmology, Glaucoma Specialist primary | 207WX0009X | MD500002813 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.