Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Edward Theodore Washington Jr.

Individual provider Ophthalmology Physician · NPI 1104211283

Edward Theodore Washington Jr. is an Ophthalmology Physician in Norcross, Georgia. Licensed in Georgia, Kentucky, Louisiana and Ohio. Registered with an NPI since 2015.

Licensed in
GA, KY, LA, OH
In the registry since
2015
Specialties on file
4

Practice location Address checks out

4045 Wetherburn Way Ste 1
Norcross, GA 30092-4611
Phone: (770) 285-7910
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Glaucoma Specialist (Ophthalmology) Physician (primary) Taxonomy 207WX0009X · Licence 91739 (GA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 312393 (LA)
Ophthalmology Physician Taxonomy 207W00000X · Licence 57027483 (OH)
Ophthalmology Physician Taxonomy 207W00000X · Licence TP126 (KY)

Record details

NPI number1104211283
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 5, 2015
Last updated in NPPESAugust 30, 2023
Certification dateAugust 30, 2023

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