RETINA INSTITUTE OF WASHINGTON PLLC (NPI# 1578892196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578892196 |
| Entity Type | Organization |
| Organization Name | RETINA INSTITUTE OF WASHINGTON PLLC |
| Practice Address |
4300 Talbot Rd S Ste 201 Renton WA 98055-6238 |
| Mailing Address |
4300 Talbot Rd S Ste 201 Renton WA 98055-6238 |
| Practice Telephone | 2068928281 |
| Mailing Telephone | 4252286262 |
| Mailing Fax Number | 4252286260 |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2010-07-27 |
| Authorized Official Name | GEORGE J. KO (MANAGING DIRECTOR) |
| Authorized Official Telephone | 4252286262 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | MD60021230 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI-INDIVIDUAL | 1205890514 | 01 | |
| WASHINGTON STATE PROFESSIONAL LICENSE | MD60021230 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | RETINA INSTITUTE OF WASHINGTON PLLC | 4300 Talbot Rd S Ste 201, Renton, WA 98055 |
| Street Address |
4300 TALBOT RD S STE 201 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-6238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407045172 | Joseph Walter King | Ophthalmology | 900 Sw 16th St Ste 200, Renton, WA 98057-2631 | 2007-10-18 |
| 1861687626 | Eugene Iwanyk | Ophthalmology | 1300 Sw 7th St, Suite 105, Renton, WA 98057-5225 | 2007-09-13 |
| 1487654331 | N W Eye Surgeons P C | Ophthalmology | 1412 Sw 43rd St, Suite 310, Renton, WA 98057-4803 | 2005-07-21 |
| 1588663173 | Howard Nicholas Straub | Ophthalmology | 3915 Talbot Rd S, Ste 310, Renton, WA 98055-5738 | 2005-07-18 |
| 1447598149 | Mark Barrett Walker | Ophthalmology | 1300 Sw 7th St, #105, Renton, WA 98057-5225 | 2013-01-30 |
| 1023349602 | King Lasik Inc Ps | Ophthalmology | 900 Sw 16th St, Renton, WA 98057-2631 | 2010-01-21 |
| 1902063290 | Clearly Lasik, Inc. | Ophthalmology | 900 Sw 16th St, Suite 200, Renton, WA 98057-2631 | 2008-05-22 |
| 1083800502 | Rahul Mandiga | Ophthalmology | 4300 Talbot Rd S, Suite 201, Renton, WA 98055-6238 | 2007-09-18 |
| 1609066414 | Valley Eye and Laser Center Inc. P.s. | Ophthalmology | 4011 Talbot Rd S, #210, Renton, WA 98055-5773 | 2007-07-27 |
| 1235289513 | Jeanne Y Cubanski | Ophthalmology | 3915 Talbot Rd S, Ste 100, Renton, WA 98055 | 2007-01-11 |
| Find all providers in RENTON | ||||
Please comment or provide details below to improve the information on RETINA INSTITUTE OF WASHINGTON PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.