PACIFIC NORTHWEST RETINA PLLC NPI 1558940387

NPI Information

NPI: 1558940387
Provider Name: PACIFIC NORTHWEST RETINA PLLC
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
1750 112TH AVE NE STE D050
BELLEVUE, WA
ZIP 98004
Phone: (206) 215-3850
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PACIFIC NORTHWEST RETINA PLLC is a retina specialist ophthalmology in Bellevue, WA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. PACIFIC NORTHWEST RETINA PLLC NPI is 1558940387. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1750 112TH AVE NE STE D050
BELLEVUE, WA
ZIP 98004-779
Phone: (206) 215-3850
Fax: (206) 215-3870

The provider's authorized official is Charles D Birnbach .
The authorized official title is Secretary and has the following contact phone number (425) 296-3837.

The enumeration date for this NPI number is 4/7/2021 and was last updated on 6/3/2021.

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	207WX0107X	Ophthalmology	Retina Specialist			Yes
2	261QM1300X	Clinic/Center	Multi-Specialty			No

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

NPI Synchronization or Removal

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