P Praxis·MD
● Active Type 1 · Individual

Edward Theodore Washington JR.

Ophthalmology·Norcross, GA· NPI 1104211283 · Enumerated 2015 · 11 years on NPI
Washington is 1 of 1 ophthalmology providers in Norcross and 1 of 13 in Georgia.
NPI age
11 years
Enumerated 2015-04-05
Primary specialty
Ophthalmology
Plus 3 subspecialties
Licensed in
GA, LA, OH, KY
4 states
Status
Active
No deactivations on record
Last NPPES update
2023-08-30
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 13 active ophthalmology providers in Georgia.

NPI age
11 years
↓ 6 yr below median (17 yr)
State licenses
4 states
Top 76% — 23% of peers are multi-state
Subspecialties
1
In the 100% of peers with subspecialties

NPI lifetime · 2015 → 2026

2015-04Enumerated in NPPES
2015 2026

Where they practice

Practice location
4045 Wetherburn Way Ste 1
Norcross, GA 300924611
📞 7702857910
Mailing address
4045 Wetherburn Way Ste 1
Norcross, GA 300924611
📞 7702857010

Specialties

  • Ophthalmology Primary
    An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
    GA license #91739 taxonomy 207WX0009X
  • Ophthalmology
    An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
    LA license #312393OH license #57027483KY license #TP126 taxonomy 207W00000X

Identifiers

TypeValueNotes
05 (IN) 300039071
05 (KY) 7100669250
Multi-state credentialing: Licensed in 4 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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