CASCADE EYE & SKIN CENTERS PC NPI 1699817346

NPI Information

NPI: 1699817346
Provider Name: CASCADE EYE & SKIN CENTERS PC

Doing Business As: CASCADE LASER & SURGERY CENTER

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

Specialization: Ambulatory Surgical

Address:
1703 S MERIDIAN
SUITE 101
PUYALLUP, WA
ZIP 98371
Phone: (253) 770-7708
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CASCADE EYE & SKIN CENTERS PC is an ambulatory surgical clinic center in Puyallup, WA. CASCADE EYE & SKIN CENTERS PC NPI is 1699817346. The provider is registered as an organization entity type.
The provider Is Doing Business As Cascade Laser & Surgery Center.

The provider's business location address is:

1703 S MERIDIAN
SUITE 101
PUYALLUP, WA
ZIP 98371-590
Phone: (253) 770-7708
Fax: (253) 770-7630

The provider's authorized official is Wanda Davis .
The authorized official title is Administrator and has the following contact phone number (253) 446-3902.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 6/10/2014.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	601325507	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	111019	OTHER	WASHINGTON	WA. STATE LABOR & INDUSTR
2	G115000987	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
3	7079189	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: 11/14/2023

NPI Synchronization or Removal

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