PACIFIC RETINA CENTER PLLC
NPI 1184191603
Ophthalmology - Retina Specialist in Renton, WA

Q: 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.

Q: 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.

Active since November 01, 2018

1412 SW 43RD ST, RENTON, WA 98057(910) 742-7427 Get Directions Write a Review

NPPES record last updated: November 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 24, 2024, Nov 1, 2018 (2 updates tracked since 2018).

On this page

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

NPI1184191603

Entity TypeOrganization

Primary Taxonomy207WX0107X

Legal Business NamePACIFIC RETINA CENTER PLLC

Location Address1412 SW 43RD STRenton, WA 98057-4803

Mailing Address12024 Ne 100th PlKirkland, WA 98033-8828 · (910) 742-7427

Phone(910) 742-7427

Organization SubpartNo

Authorized OfficialJamison R RidgeleyManager · (910) 742-7427

Enumeration DateNovember 1, 2018

Last NPPES UpdateNovember 24, 20242 updates tracked since enumeration

NPPES CertifiedNovember 24, 2024

✔ NPI 1184191603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

Definition

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

1412 SW 43RD ST, Renton, WA 98057

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TIMOTHY STEWART MACP, MDIV, LMHCA

Counselor (Mental Health)

1412 SW 43RD ST, SUITE 111
RENTON, WA 98057

King County (425) 496-4411

GABREIL SANTANA

Technician

1412 SW 43RD ST
RENTON, WA 98057

King County (206) 971-8830

AWA TOURAY

Student in an Organized Health Care Education/Training Program

1412 SW 43RD ST
RENTON, WA 98057

King County (646) 474-1822

EVELYN SPIEKER MN, ARNP

Nurse Practitioner (Women's Health)

1412 SW 43RD ST, SUITE 200
RENTON, WA 98057

King County (425) 271-4910

MR. JAMISON R RIDGELEY MD

Ophthalmology

1412 SW 43RD ST, SUITE 206
RENTON, WA 98057

King County (253) 236-5720

PAVILLE V. CASTILLO

Counselor

1412 SW 43RD ST
RENTON, WA 98057

King County (425) 264-0750

ASSOCIATED VALLEY COUNSELING, LLC

Counselor (Mental Health)

1412 SW 43RD ST, SUITE 111
RENTON, WA 98057

King County (206) 229-5025

JOLLYS PHARMACY INC

Pharmacy (Long Term Care Pharmacy)

1412 SW 43RD ST, SUITE 120
RENTON, WA 98057

King County (425) 251-6335

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.

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 20 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.