CASCADE EYE & SKIN CENTERS P.C.
NPI 1033204938
Ophthalmology in Puyallup, WA

NPI Status: Active since October 04, 2006

Contact Information

1703 S MERIDIAN
SUITE 101
PUYALLUP, WA
ZIP 98371
Phone: (253) 848-3000
Fax: (253) 840-6514

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Ophthalmology
Accepts Insurance
CLIA Number: 50D2077939
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 04-04-2028

About CASCADE EYE & SKIN CENTERS P.C.

This page provides the complete NPI Profile along with additional information for Cascade Eye & Skin Centers P.c., a provider established in Puyallup, Washington operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1033204938 assigned on October 2006. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Cascade Eye & Skin Centers P.c. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Nicole Jelmberg-brayton (Business Operations Manager)

NPI: 1033204938
Provider Name: CASCADE EYE & SKIN CENTERS P.C.
Entity Type: Organization
Location Address: 1703 S MERIDIAN SUITE 101 PUYALLUP, WA 98371
Location Phone: (253) 848-3000
Location Fax: (253) 840-6514
Mailing Address: 1703 S MERIDIAN SUITE 101 PUYALLUP, WA 98371
Mailing Phone: (253) 848-3000
Mailing Fax: (253) 840-6514
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 10-04-2006
Last Update Date: 03-25-2024
Code Navigator

Ophthalmologists like Cascade Eye & Skin Centers P.c. specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Secondary Locations

10004 204th Ave E Ste 1500
Bonney Lake, WA 98391
(253) 848-3000
5225 Cirque Dr W Ste 200
University Place, WA 98467
(253) 848-3000
11216 Sunrise Blvd E Ste 3-102
Puyallup, WA 98374
(253) 848-3000
205 Lilly Rd NE Ste A2
Olympia, WA 98506
(253) 848-3000
4907 Pt Fosdick Dr NW Ste E700
Gig Harbor, WA 98335
(253) 848-3000

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Ophthalmology
Taxonomy Code: 207W00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	207N00000X	Allopathic & Osteopathic Physicians	Dermatology

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

BlueCross BlueShield of Tennessee

BlueCross B07S HSA - EPO
BlueCross B15S $0 virtual care from Teladoc Health � - EPO
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO

Premera Blue Cross Blue Shield of Alaska

Premera Blue Cross Alaska One Gold - PPO
Premera Blue Cross Preferred Bronze 5800 HSA - PPO
Premera Blue Cross Preferred Bronze 6350 - PPO
Premera Blue Cross Preferred Gold 1500 - PPO
Premera Blue Cross Preferred Silver 4500 - PPO
Premera Blue Cross Standard Bronze II - PPO
Premera Blue Cross Standard Gold - PPO
Premera Blue Cross Standard Silver - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: NICOLE JELMBERG-BRAYTON
Authorized Official Title: BUSINESS OPERATIONS MANAGER
Authorized Official Phone: (253) 446-3904

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 50D2077939
Facility Type: Physician Office
Certificate Effective Date: May 19, 2014
Certificate Expiration Date: April 04, 2028
Laboratory Director: STEPHEN GROO
Certificate Type: Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description: This CLIA certificate is issued to Cascade Eye & Skin Centers P.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	3	3	2	0	4	9	3	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	6	3	4	0	8	9	6
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 4 + 0 + 8 + 9 + 6 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 8									8

The NPI number 1033204938 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 20 providers are registered at the same or nearby location.

BRENDA F KODAMA MD

Dermatology

1703 S MERIDIAN
STE 101
PUYALLUP, WA
ZIP 98371