PETER B SHELLEY MD PS NPI 1184893901

NPI Information

NPI: 1184893901
Provider Name: PETER B SHELLEY MD PS
Classification: Clinic/Center - 261QH0100X
Specialization: Health Service
Entity Type: Organization
Doing Business As: FEDERAL WAY EYE & LASER CENTER
Address: 32123 1ST AVE S
SUITE A-3
FEDERAL WAY, WA
ZIP 98003
Phone: (253) 838-6272

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NPI Details

PETER B SHELLEY MD PS is a health service clinic center in Federal Way, WA. PETER B SHELLEY MD PS NPI is 1184893901. The provider is registered as an organization entity type.
The provider Is Doing Business As Federal Way Eye & Laser Center.

The provider's business location address is:

32123 1ST AVE S
SUITE A-3
FEDERAL WAY, WA
ZIP 98003-721
Phone: (253) 838-6272
Fax: (253) 874-2690

The provider's authorized official is Doris L Wilson .
The authorized official title is Office Manager and has the following contact phone number (253) 838-6272.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 2/26/2008.

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	261QH0100X	Clinic/Center	Health Service	MD00018850	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	A05608	MEDICARE UPIN	WASHINGTON
2	1748805	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: 3/30/2025

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