THE EYE SURGEONS GROUP AMBULATORY SURGERY CENTER – NPI #1780807081
Clinic/Center

THE EYE SURGEONS GROUP AMBULATORY SURGERY CENTER is an AHC clinic located in TACOMA, WA. NPPES has assigned the NPI number 1780807081 to THE EYE SURGEONS GROUP AMBULATORY SURGERY CENTER on April 11, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “THE EYE SURGEONS GROUP AMBULATORY SURGERY CENTER” is a dba name, the actual legal business name for this organization is PROLIANCE SURGEONS, INC., P.S.. 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 4 years ago on Jul 21, 2022. 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 THE EYE SURGEONS GROUP AMBULATORY SURGERY CENTER below.

NPI Profile for
PROLIANCE SURGEONS, INC., P.S.

NPI Number
1780807081
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
PROLIANCE SURGEONS, INC., P.S.
Doing Business As (dba): THE EYE SURGEONS GROUP AMBULATORY SURGERY CENTER
Primary location
502 S M ST
TACOMA, WA 98405-3728
Phone: (253) 301-4953 Fax: (253) 301-4845
Mailing address
805 MADISON ST STE 901
SEATTLE, WA 98104-1172
Phone: (206) 264-8100 Fax:
Organization Subpart
No
Authorized Official
DAVID FITZGERALD
CEO
Phone: (206) 838-2599
Updated
Identifiers

Identifiers for THE EYE SURGEONS GROUP AMBULATORY 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 L & IWA0375352
MEDICAIDWA7037880
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 601484763

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.