CASCADE LASER & SURGERY CENTER – NPI #1699817346
Clinic/Center

CASCADE LASER & SURGERY CENTER is an AHC clinic located in PUYALLUP, WA. NPPES has assigned the NPI number 1699817346 to CASCADE LASER & SURGERY CENTER on February 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CASCADE LASER & SURGERY CENTER” is a dba name, the actual legal business name for this organization is CASCADE EYE & SKIN CENTERS PC. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 2 years ago on Mar 11, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CASCADE LASER & SURGERY CENTER below.

NPI Profile for
CASCADE EYE & SKIN CENTERS PC

NPI Number
1699817346
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CASCADE EYE & SKIN CENTERS PC
Doing Business As (dba): CASCADE LASER & SURGERY CENTER
Primary location
1703 S MERIDIAN STE 201
PUYALLUP, WA 98371-7590
Phone: (253) 848-3000 Fax:
Mailing address
1703 S MERIDIAN
SUITE 101
PUYALLUP, WA 98371-7590
Phone: (253) 770-7708 Fax: (253) 770-7630
Organization Subpart
No
Authorized Official
NICOLE JELMBERG-BRAYTON
BUSINESS OPERATIONS MANAGER
Phone: (253) 446-3904
Updated
Certification Date
Mar 11, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for CASCADE LASER & SURGERY CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherWA. STATE LABOR & INDUSTRWA111019
medicaidWA7079189
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
WA 601325507

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.