PROLIANCE SURGEONS, INC., P.S. (NPI# 1952835035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952835035 |
| Entity Type | Organization |
| Organization Name | PROLIANCE SURGEONS, INC., P.S. |
| Other Organization Name | THE EYE SURGEONS GROUP |
| Practice Address |
502 S M St Tacoma WA 98405-3728 |
| Mailing Address |
805 Madison St Suite 901 Seattle WA 98104-1172 |
| Practice Telephone | 2533014953 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2017-05-01 |
| Authorized Official Name | MR. DAVID G. FITZGERALD (CEO) |
| Authorized Official Telephone | 2068382599 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 601484763 | WA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| The Eye Surgeons Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902418189 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 2727 Hollycroft St Ste 410, Gig Harbor, WA 98335-1369 | 2020-08-19 |
| 1790325710 | Proliance Surgeons, Inc., P.s. | Radiology | 1101 Madison St Ste 580, Seattle, WA 98104-4305 | 2020-01-07 |
| 1104474808 | Proliance Surgeons, Inc., P.s. | Durable Medical Equipment & Medical Supplies | 1231 116th Ave Ne Ste 755, Bellevue, WA 98004-3804 | 2019-08-27 |
| 1417512021 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 1620 Lake Tapps Pkwy Se Ste 115, Auburn, WA 98092-8376 | 2019-05-08 |
| 1205307253 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 901 Boren Ave Ste 711, Seattle, WA 98104-3301 | 2018-12-16 |
| 1972073799 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 150 Andover Park W, Tukwila, WA 98188-2801 | 2018-12-05 |
| 1184106262 | Proliance Surgeons, Inc., P.s. | Orthopaedic Surgery | 18100 Ne Union Hill Rd Ste 330, Redmond, WA 98052-3330 | 2018-09-05 |
| 1184140477 | Proliance Surgeons, Inc., P.s. | Radiology | 6808 220th St Sw Ste 105, Mountlake Terrace, WA 98043-2187 | 2017-08-17 |
| 1255736971 | Proliance Surgeons, Inc., P.s. | Surgery | 1519 3rd St Se Ste 210, Puyallup, WA 98372-3742 | 2014-10-23 |
| 1467883116 | Proliance Surgeons, Inc., P.s. | Physical Medicine & Rehabilitation | 1017 20th St, Anacortes, WA 98221-2505 | 2013-12-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROLIANCE SURGEONS, INC., P.S. | 805 Madison St Ste 901, Seattle, WA 98104-1172 |
| Washington State Corporations | PROLIANCE SURGEONS, INC., P.S. | 805 Madison St Ste 901, Seattle, WA 98104-1172 |
| Street Address |
502 S M ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-3728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104874908 | Connie E Jensen | Nurse Anesthetist, Certified Registered | 502 S M St, Suite 200, Tacoma, WA 98405-3728 | 2006-05-04 |
| 1104465012 | Evergreen Eye Center Inc., P.s. | Clinic/Center | 502 S M St, Tacoma, WA 98405-3728 | 2019-12-26 |
| 1407401920 | Evergreen Eye Center Inc., P.s. | Optometrist | 502 S M St, Tacoma, WA 98405-3728 | 2019-08-02 |
| 1144659764 | Tacoma Eye Surgeons Ps | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2013-11-04 |
| 1831443381 | Brown Anesthesia, Pllc | Nurse Anesthetist, Certified Registered | 502 S M St, Tacoma, WA 98405-3728 | 2012-11-06 |
| 1013279298 | Alexander L. Grigalunas | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2012-06-13 |
| 1780807081 | Proliance Surgeons, Inc., P.s. | Clinic/Center | 502 S M St, Tacoma, WA 98405-3728 | 2007-04-11 |
| 1174746481 | Douglas A Macleod | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2007-04-11 |
| 1386729242 | Christine Marie Hintz | Optometrist | 502 S M St, Tacoma, WA 98405-3728 | 2006-10-26 |
| 1124050117 | Andrew B Kopstein | Ophthalmology | 502 S M St, Tacoma, WA 98405-3728 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| 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 |
|---|---|---|---|---|
| 1073951240 | Maxine Amy Harvey | Ophthalmology | 9040 Jackson Ave Madigan Army Medical Ctr, Tacoma, WA 98431-4504 | 2013-06-11 |
| 1053534347 | St Marks Eye Institute Inc | Ophthalmology | 502 S 'm' St, Tacoma, WA 98405 | 2007-04-11 |
| 1396890653 | Charles William Rance | Ophthalmology | 1901 S Union Ave Ste A211, Allenmore Medical Center, Tacoma, WA 98405-1709 | 2007-01-24 |
| 1467510826 | Hsushi Yeh | Ophthalmology | 1311 South Union Avenue, Suite 101, Tacoma, WA 98405-1959 | 2006-12-05 |
| 1326150657 | Jonathan Christian Bahmiller | Ophthalmology | 2115 South 56th Street, Suite 103, Tacoma, WA 98388 | 2006-08-31 |
| 1922012582 | Andrew Davis | Ophthalmology | 9040a Fitzsimmons St, Tacoma, WA 98433-2010 | 2006-07-28 |
| 1285664375 | Victor W Chiu | Ophthalmology | 3602 S 19th Street, Tacoma, WA 98405 | 2006-07-04 |
| 1386683837 | Francis T Geissler | Ophthalmology | 4707 S 19th St, Ste 210, Tacoma, WA 98405-1151 | 2006-06-06 |
| 1851365316 | Darryl Jay Ainbinder | Ophthalmology | Madigan Army Medical Center Mchj-sou, Tacoma, WA 98431-0001 | 2006-02-13 |
| 1689647109 | Mark Lewis Nelson | Ophthalmology | 2245 S 19th St, 200, Tacoma, WA 98405-2945 | 2006-02-08 |
| Find all providers in TACOMA | ||||
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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.