PACIFIC NORTHWEST RETINA PLLC – NPI #1558940387
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

PACIFIC NORTHWEST RETINA PLLC is an ophthalmologist located in BELLEVUE, WA. NPPES has assigned the NPI number 1558940387 to PACIFIC NORTHWEST RETINA PLLC on April 07, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI data, there are 6 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 3 years ago on Aug 21, 2023. 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 PACIFIC NORTHWEST RETINA PLLC below.

NPI Profile for
PACIFIC NORTHWEST RETINA PLLC

NPI Number
1558940387
Enumeration Date

(more than 5 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
PACIFIC NORTHWEST RETINA PLLC
Primary location
1750 112TH AVE NE STE D050
BELLEVUE, WA 98004-3779
Phone: (206) 215-3850 Fax: (206) 215-3870
6 Other location(s):
3105 Old Fairhaven Pkwy Ste 103
Bellingham, WA 98225-8212
Phone: (206) 215-3850
215 E George Hopper Rd
Burlington, WA 98233-3105
Phone: (206) 215-3850
2205 W Dolarway Rd Ste 2
Ellensburg, WA 98926-8241
Phone: (206) 215-3850
321 Ramsay Way Ste 107
Kent, WA 98032-4544
Phone: (206) 215-3850
6100 219th St SW Ste 280
Mountlake Terrace, WA 98043-2222
Phone: (206) 215-3850
1229 Madison St Ste 620
Seattle, WA 98104-3304
Phone: (206) 215-3850
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES BIRNBACH
SECRETARY
Phone: (425) 296-3837
Updated
Certification Date
Aug 21, 2023

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.

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
207WX0107X
- Ophthalmology / Retina Specialist (Primary)
261QM1300X
- Clinic/Center / Multi-Specialty

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.