Provider Demographics
NPI:1790661312
Name:PREVENTION OF BLINDNESS SOCIETY OF METROPOLITAN WASHINGTON
Entity type:Organization
Organization Name:PREVENTION OF BLINDNESS SOCIETY OF METROPOLITAN WASHINGTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FORSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-234-1010
Mailing Address - Street 1:415 2ND ST NE STE 200
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4900
Mailing Address - Country:US
Mailing Address - Phone:202-234-1010
Mailing Address - Fax:
Practice Address - Street 1:105 S ALFRED ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3001
Practice Address - Country:US
Practice Address - Phone:202-234-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision RehabilitationGroup - Multi-Specialty