RETINA INSTITUTE, PLLC (NPI# 1528303849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528303849 |
| Entity Type | Organization |
| Organization Name | RETINA INSTITUTE, PLLC |
| Other Organization Name | RETINA INSTITUTE OF WASHINGTON |
| Practice Address |
4300 Talbot Rd S Ste 300 Renton WA 98055-6238 |
| Practice Telephone | 4252286262 |
| Practice Fax Number | 4252286260 |
| Mailing Telephone | 4252286262 |
| Mailing Fax Number | 4252286260 |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2017-04-05 |
| 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 | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
MD60021230 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICARE NPI | 1528303849 | 01 |
| Other Name | Type Code |
|---|---|
| Retina Institute of Washington | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | RETINA INSTITUTE, PLLC | 4300 Talbot Rd S, Ste 300, Renton, WA 98055-6238 |
| Street Address |
4300 TALBOT RD S STE 300 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-6238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 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 |
| 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 |
| 1437390960 | Evelyn E.m.o Davies-venn | Audiologist | 4033 Talbot Rd So., #230, Renton, WA 98055 | 2009-03-12 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1184191603 | Pacific Retina Center Pllc | Ophthalmology | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2018-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356836357 | Summit Eye Consultants Pllc | Ophthalmology | 945 Hildebrand Ln Ne Ste 235, Bainbridge Island, WA 98110-2877 | 2018-06-22 |
| 1669590782 | Tony H. Huynh | Ophthalmology | 6100 219th St Sw Ste 280, Mountlake Terrace, WA 98043-2222 | 2007-03-27 |
| 1992040240 | Retina Specialists Northwest, Pllc | Ophthalmology | 33915 1st Way S, Ste 120, Federal Way, WA 98003-4551 | 2012-11-27 |
| 1841568946 | Proliance Surgeons, Inc., P.s. | Ophthalmology | 1750 112th Ave Ne Ste D050, Bellevue, WA 98004 | 2011-12-05 |
| 1386669562 | David N Drucker | Ophthalmology | 1530 N 115th St, Suite 105, Seattle, WA 98133-8421 | 2006-07-12 |
| 1033141007 | Todd Evan Schneiderman | Ophthalmology | 9800 Levin Rd Nw, Suite 203, Silverdale, WA 98383-7849 | 2006-07-07 |
| 1942232913 | David J Spinak | Ophthalmology | 9800 Levin Rd Nw, Ste 203, Silverdale, WA 98383-7849 | 2006-07-07 |
| 1295729010 | Adrian Eoin Omalley | Ophthalmology | 9800 Levin Rd Nw, #203, Silverdale, WA 98383-7849 | 2005-09-08 |
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| 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.