1326337262 NPI number — RETINA AND MACULA SPECIALISTS PS

Table of content: (NPI 1326337262)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326337262 NPI number — RETINA AND MACULA SPECIALISTS PS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RETINA AND MACULA SPECIALISTS PS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326337262
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/31/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2914 S ALDER ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TACOMA
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98409-4819
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
253-573-0948
Provider Business Mailing Address Fax Number:
253-573-0942

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3620 ENSIGN RD NE
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
OLYMPIA
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98506-5025
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
360-923-2200
Provider Business Practice Location Address Fax Number:
360-923-4140
Provider Enumeration Date:
03/31/2011

Additional Information

Authorized Official

Authorized Official Last Name:
ENZ
Authorized Official First Name:
PAULINNE
Authorized Official Middle Name:
D
Authorized Official Title or Position:
OFFICE MANAGER
Authorized Official Telephone Number:
253-573-0948

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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