OrganizationActive
Providence Opticians Designer Eyewear Inc
NPI 1790923605 · Eyewear Supplier · Washington, DC
Provider details
- NPI number
- 1790923605
- Entity type
- Organization
- Primary specialty
- Eyewear SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Kyle Winslow, President(202) 462-0055
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3510 12th St Ne
Washington, DC 20017-2544
Phone: (202) 526-0300
Fax: (202) 526-0233
Street-level locationGet directions
Mailing address
3510 12th St Ne
Washington, DC 20017-2544
Other names (DBA / former)
- Former legal business name
- Providence Opticians Inc
Registry dates
- Enumerated
- 2009-01-30
- Last updated
- 2013-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.