Basic Information
| Provider Information | |||||||||
| NPI: | 1912972332 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ROSENBLATT | ||||||||
| FirstName: | MICHAEL | ||||||||
| MiddleName: | PAUL | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | O.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 900 17TH ST NW | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200062501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2023317566 | ||||||||
| FaxNumber: | 2023318533 | ||||||||
| Practice Location | |||||||||
| Address1: | 900 17TH ST NW | ||||||||
| Address2: | SUITE 400 | ||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200062501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2023317566 | ||||||||
| FaxNumber: | 2023318533 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/20/2006 | ||||||||
| LastUpdateDate: | 10/14/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 152WC0802X | OP653 | DC | Y | Eye and Vision Services Providers | Optometrist | Corneal and Contact Management |
No ID Information.