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

Mr. Mike E. Pelivanis, LDO

Individual provider Optician · NPI 1407997992

Mr. Mike E. Pelivanis, LDO is an Optician in Washington, District of Columbia. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

4200 Wisconsin Ave NW
Washington, DC 20016-2143
Phone: (202) 244-1308
Fax: (202) 244-2050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X

Record details

NPI number1407997992
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedFebruary 9, 2007
Last updated in NPPESJuly 8, 2007
Mailing address4200 Wisconsin Ave Nw, Washington, DC 20016-2143

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