PROLIANCE SURGEONS, INC., P.S. – NPI #1275726739
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.

Health Care Provider Taxonomy Code for Ophthalmology

PROLIANCE SURGEONS, INC., P.S. is an ophthalmologist located in REDMOND, WA. NPPES has assigned the NPI number 1275726739 to PROLIANCE SURGEONS, INC., P.S. on August 19, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was last updated on May 02, 2025. 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 PROLIANCE SURGEONS, INC., P.S. below.

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

NPI Number
1275726739
Enumeration Date

(about 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.
Other name(s)
All associated names:
Doing Business As (dba)
Proliance Eastside ENT
Doing Business As (dba)
Proliance The Children and Family Eye Doctors
Primary location
17130 AVONDALE WAY NE STE 111
REDMOND, WA 98052-4455
Phone: (425) 885-6600 Fax: (425) 885-6580
1 Other location(s):
1800 116th Ave NE
Suite 102
Bellevue, WA 98004-3043
Phone: (425) 451-3710
Fax: (425) 451-2636
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CORI PLEASANT
CREDENTIALING & ENROLLMENT MANAGER
Phone: (206) 838-2585
Updated
Certification Date
May 02, 2025

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 PROLIANCE SURGEONS, INC., P.S.

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 LABOR & INDUSTRIESWA222338
medicaidWA2001403
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
207W00000X
- Ophthalmology (Primary)
207Y00000X
- Otolaryngology
152W00000X
- Optometrist

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.