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PACIFIC RETINA SPECIALISTS PS NPI 1215093307


NPI Information

NPI: 1215093307
Provider Name: PACIFIC RETINA SPECIALISTS, PS

Former Legal Business Name: JAY M. FRIEDMAN, M.D., P.S.

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1536 N 115TH ST
SUITE 300
SEATTLE, WA
ZIP 98133
Phone: (206) 368-5457
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PACIFIC RETINA SPECIALISTS, PS is an ophthalmology in Seattle, WA. The provider is 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 disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. PACIFIC RETINA SPECIALISTS, PS NPI is 1215093307. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Jay M. Friedman, M.d., P.s..

The provider's business location address is:

1536 N 115TH ST
SUITE 300
SEATTLE, WA
ZIP 98133-400
Phone: (206) 368-5457
Fax: (206) 368-0622

The provider's authorized official is Jay Max Friedman .
The authorized official title is President and has the following contact phone number (206) 368-5457.

The enumeration date for this NPI number is 12/31/2006 and was last updated on 2/23/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GAB11054MEDICARE PINWASHINGTON
20138953OTHERWASHINGTONWA DEPT OF LABOR & INDUST
3GAB11055MEDICARE PINWASHINGTON
47097249MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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