WASHINGTON RETINA
NPI 1215672084
Ophthalmology - Retina Specialist in Auburn, WA

Active since May 04, 2022
125 3RD ST NE STE 200, AUBURN, WA 98002(253) 275-1000(253) 275-9000 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 1, 2023, Aug 5, 2022, May 4, 2022 (3 updates tracked since 2022).

About Washington Retina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WASHINGTON RETINA (NPI 1215672084) is a healthcare organization registered as a retina specialist in Auburn, Washington and active in the NPI registry since May 2022. The organization maintains 2 additional practice locations and lists Rahul Mandiga, Member, as its authorized official.

NPPES Registry Identity

NPI1215672084
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameWASHINGTON RETINA, PLLC
Location Address125 3RD ST NE STE 200Auburn, WA 98002-4035
Mailing Address125 3rd St Ne Ste 200Auburn, WA 98002-4035 · (253) 275-1000 · Fax (253) 275-9000
Fax(253) 275-9000
Organization SubpartNo
Authorized OfficialRahul MandigaMember · (253) 275-1000
Enumeration DateMay 4, 2022
Last NPPES UpdateMay 1, 20233 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1215672084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X
125 3RD ST NE STE 200, Auburn, WA 98002

Other Names 1

Doing Business AsWashington Retina

Secondary Practice Locations 2

Location 11901 S Union Ave, Allenmore Building B - Ste 5004Tacoma, WA 98405 · Phone (253) 275-1000 · Fax (253) 275-9000
Location 24009 Talbot Rd S Ste 400Renton, WA 98055-5781 · Phone (253) 275-1000 · Fax (253) 275-9000

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Washington Retina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Washington Retina, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Ophthalmology
NPI 1083800502
125 3RD ST NE STE 200
Auburn, WA 98002
(253) 275-1000
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1659637668
125 3RD ST NE STE 200
Auburn, WA 98002
(253) 275-1000
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1164926028
125 3RD ST NE STE 200
Auburn, WA 98002
(253) 275-1000
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1801090709
7106 SMOKE RANCH RD
Las Vegas, NV 89128
(702) 358-0472
✔ PECOS✔ Accepts Medicare846 mi

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 Washington Retina, PLLC's NPI number?

The NPI number for Washington Retina, PLLC is 1215672084. It was assigned to this organization in the NPPES registry on May 4, 2022. The provider is doing business as Washington Retina.

Where is Washington Retina, PLLC located?

Washington Retina, PLLC is located at 125 3rd St NE Ste 200, Auburn, WA 98002. The listed phone number is (253) 275-1000.

What is Washington Retina, PLLC's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Washington Retina, PLLC enrolled in Medicare?

Yes. Washington Retina, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Washington Retina, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Washington Retina, 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Washington Retina, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Washington Retina, 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 Washington Retina, PLLC was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.