NPI 1336301902 · live from the CMS NPI Registry
Bennett Jacob Oberg, D.O.
Ophthalmology in Washington, DC. National Provider Identifier 1336301902, active.
NPI record
| NPI | 1336301902 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | Wramc Bldg 2 Department Of Ophthalmology, Georgia Ave. Nw, Washington, DC 20307 |
| Practice phone | 202-782-3501 |
| Mailing address | Wramc Bldg 2 Rm 1f, Georgia Ave. Nw, Washington, DC 20307 |
| Enumerated | June 25, 2008 |
| Last updated | July 6, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 0102202608 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.