NPI 1720088545 · live from the CMS NPI Registry
Jay Lustbader
Ophthalmology in Washington, DC. National Provider Identifier 1720088545, active.
NPI record
| NPI | 1720088545 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 3800 Reservoir Rd Nw, Washington, DC 20007 |
| Practice phone | 202-444-4448 |
| Mailing address | Po Box 418283, Boston, MA 02241 |
| Enumerated | July 22, 2005 |
| Last updated | March 9, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 17514 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.