RETINA SPECIALISTS NORTHWEST, PLLC (NPI# 1992040240) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992040240 |
Entity Type | Organization |
Organization Name | RETINA SPECIALISTS NORTHWEST, PLLC |
Practice Address |
33915 1st Way S Ste 120 Federal Way WA 98003-4551 |
Practice Telephone | 2535173334 |
Practice Fax Number | 2535175695 |
Mailing Telephone | 2535173334 |
Mailing Fax Number | 2535175695 |
Enumeration Date | 2012-11-27 |
Last Update Date | 2020-09-25 |
Authorized Official Name | DR. BRENDA A MYERS POWELL (PRESIDENT) |
Authorized Official Telephone | 2535173334 |
Authorized Official Credential | MD, PHD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
Allopathic & Osteopathic Physicians |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | RETINA SPECIALISTS NORTHWEST, PLLC | 33915 1st Way S, Ste 120, Federal Way, WA 98003 |
Street Address |
33915 1ST WAY S STE 120 |
City | FEDERAL WAY |
State | WA |
Zip Code | 98003-4551 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356325195 | Brenda A. Myers Powell | Ophthalmology | 33915 1st Way S, Ste 120, Federal Way, WA 98003-4551 | 2005-12-05 |
1275936684 | Kathryn Marie Phillips | Physician Assistant | 33915 1st Way S, Ste 200, Federal Way, WA 98003-4551 | 2014-09-29 |
1376778381 | Medical Imaging On 1st, LLC | Clinic/Center | 33915 1st Way S, Suite 130, Federal Way, WA 98003-4551 | 2009-05-19 |
1336366855 | Patricia Kho | Dentist | 33915 1st Way S, Suite #201, Federal Way, WA 98003-4551 | 2007-04-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124634969 | Jossie Jeniffer Wong-vicuna | Interpreter | 3001 S 288th Street, 201, Ferderal Way, WA 98003 | 2020-09-17 |
1336642420 | Otto Family | Massage Therapist | 720 S 348th St Ste A-1b, Federal Way, WA 98003 | 2018-03-14 |
1962912709 | Lindsay Plumley | Occupational Therapist | 33330 8th Avenue S, Federal Way, WA 98003 | 2017-10-06 |
1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
1023547072 | Iora Health Washington Physicians, P.C. | Internal Medicine | 1414 S. 324th Street, Federal Way, WA 98003 | 2017-06-05 |
1811346869 | Iora Senior Health Inc | Internal Medicine | 1414 S 324th St, Federal Way, WA 98003 | 2016-06-10 |
1972958940 | Kathy Marie Haviland | Registered Nurse | 1010 S. 336th St, Supplemental Health Care, Federal Way, WA 98003 | 2016-04-27 |
1972969343 | Jacklyn Marie James | Specialist | 530 South 336th Street, Ste C, Massage for Health and Day Spa, Inc., Federal Way, WA 98003 | 2016-01-14 |
1659767036 | Jillian Liner | Pediatrics | 34503 9th Ave S Ste 220, Federal Way, WA 98003 | 2015-04-12 |
1235537739 | Simranjit Singh Longia | Student in an Organized Health Care Education/Training Program | 34618 11th Ave. S., Suite 100, Federal Way, WA 98003 | 2014-12-15 |
Find all providers in zip 98003 |
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 |
---|---|---|---|---|
1356836357 | Summit Eye Consultants Pllc | Ophthalmology | 945 Hildebrand Ln Ne Ste 235, Bainbridge Island, WA 98110-2877 | 2018-06-22 |
1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
1669590782 | Tony H. Huynh | Ophthalmology | 6100 219th St Sw Ste 280, Mountlake Terrace, WA 98043-2222 | 2007-03-27 |
1184191603 | Pacific Retina Center Pllc | Ophthalmology | 1412 Sw 43rd St, Renton, WA 98057-4803 | 2018-11-01 |
1528303849 | Retina Institute, Pllc | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055-6238 | 2012-11-28 |
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 |
Find all providers with the same taxonomy |
City | FEDERAL WAY |
Zip Code | 98003 |
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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.