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PROLIANCE SURGEONS INC. P.S. NPI 1841568946


NPI Information

NPI: 1841568946
Provider Name: PROLIANCE SURGEONS, INC., P.S.

Doing Business As: PROLIANCE RETINA

Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
1750 112TH AVE NE STE D050
BELLEVUE, WA
ZIP 98004
Phone: (206) 215-3850
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PROLIANCE SURGEONS, INC., P.S. is an ophthalmology in Bellevue, WA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. PROLIANCE SURGEONS, INC., P.S. NPI is 1841568946. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Proliance Retina.

The provider's business location address is:

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

The provider's authorized official is Laura Kleisle .
The authorized official title is Chief Risk Officer and has the following contact phone number (206) 838-2590.

The enumeration date for this NPI number is 12/5/2011 and was last updated on 5/28/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmology601484763WASHINGTONYes
2207WX0107XOphthalmologyRetina Specialist601484763WASHINGTONNo
3261QM1300XClinic/CenterMulti-Specialty601484763WASHINGTONNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1288391OTHERWASHINGTONLABOR & INDUSTRIES
22016220MEDICAIDWASHINGTON

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

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