AESTHETIC EYE ASSOCIATES PS NPI 1023043445

NPI Information

NPI: 1023043445
Provider Name: AESTHETIC EYE ASSOCIATES, PS

Doing Business As: ALLURE LASER CENTER & MEDISPA

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
625 4TH AVE
SUITE 301
KIRKLAND, WA
ZIP 98033
Phone: (425) 216-7200
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AESTHETIC EYE ASSOCIATES, PS is an ambulatory surgical clinic center in Kirkland, WA. AESTHETIC EYE ASSOCIATES, PS NPI is 1023043445. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Allure Laser Center & Medispa.

The provider's business location address is:

625 4TH AVE
SUITE 301
KIRKLAND, WA
ZIP 98033-028
Phone: (425) 216-7200
Fax: (425) 216-7272

The provider's authorized official is Steven J Laukaitis .
The authorized official title is Medical Director/ceo and has the following contact phone number (425) 216-7200.

The CLIA number assigned to this NPI record is 50D1095587 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/12/2006 and was last updated on 11/19/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology				No
2	261QA1903X	Clinic/Center	Ambulatory Surgical	ASF.FS.60099157	WASHINGTON	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GAB36305	OTHER	WASHINGTON	PTAN
2	GAB36305	MEDICARE PIN	WASHINGTON
3	7121049	MEDICAID	WASHINGTON

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: 4/28/2024

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