PROLIANCE SURGEONS INC. P.S. NPI 1467721498

NPI Information

  • NPI: 1467721498
  • Provider Name: PROLIANCE SURGEONS, INC., P.S.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: THE RETINA SURGERY CENTER
  • CLIA Number: 50D2012011
  • Address: 1750 112TH AVE NE
    SUITE D-050
    BELLEVUE, WA
    ZIP 98004
  • Phone: (206) 215-3850

Map and Directions

Get Directions

NPI Details

PROLIANCE SURGEONS, INC., P.S. is an ambulatory surgical clinic center in Bellevue, WA. PROLIANCE SURGEONS, INC., P.S. NPI is 1467721498. The provider is registered as an organization entity type.
The provider Is Doing Business As The Retina Surgery Center.

The provider's business location address is:

1750 112TH AVE NE
SUITE D-050
BELLEVUE, WA
ZIP 98004-752
Phone: (206) 215-3850
Fax: (206) 215-3870

The provider's authorized official is David G. Fitzgerald .
The authorized official title is Ceo and has the following contact phone number (206) 838-2599.

The CLIA number assigned to this NPI record is 50D2012011 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2011 and was last updated on 12/20/2011.

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
1261QA1903XClinic/CenterAmbulatory SurgicalWASHINGTONYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI