PACIFIC RETINA CENTER PLLC
NPI 1184191603
Ophthalmology - Retina Specialist in Renton, WA
About Pacific Retina Center Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC RETINA CENTER PLLC (NPI 1184191603) is a healthcare organization registered as a retina specialist in Renton, Washington and active in the NPI registry since November 2018. The organization lists Jamison R Ridgeley, Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pacific Retina Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific Retina Center PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pacific Retina Center PLLC's NPI number?
The NPI number for Pacific Retina Center PLLC is 1184191603. It was assigned to this organization in the NPPES registry on November 1, 2018.
Where is Pacific Retina Center PLLC located?
Pacific Retina Center PLLC is located at 1412 SW 43rd St, Renton, WA 98057. The listed phone number is (910) 742-7427.
What is Pacific Retina Center PLLC's specialty?
The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.
Is Pacific Retina Center PLLC enrolled in Medicare?
Yes. Pacific Retina Center PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pacific Retina Center PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Pacific Retina Center PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pacific Retina Center PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Pacific Retina Center PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pacific Retina Center PLLC was last updated on November 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pacific Retina Center Pllc · NPI 1184191603
Retina Specialist organization in Renton, Washington. Organization record, active in the CMS NPPES registry since November 1, 2018.
## Identity
- **NPI:** 1184191603 (Entity type: Organization)
- **Enumerated:** November 1, 2018
- **Primary specialty:** Ophthalmology - Retina Specialist · taxonomy 207WX0107X
- **Organization subpart:** No
- **Authorized official:** Jamison Ridgeley, MANAGER
## Practice location
- **Address:** 1412 SW 43RD ST, Renton, WA 98057-4803
- **Phone:** (910) 742-7427
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Ophthalmology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184191603) · Data from the CMS NPPES public registry.