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PACIFIC NORTHWEST RETINA PLLC
NPI 1558940387
Ophthalmology - Retina Specialist in Bellevue, WA

Active since April 07, 2021CLIA Certified · 2 labs
1750 112TH AVE NE STE D050, BELLEVUE, WA 98004(206) 215-3850(206) 215-3870 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 21, 2023, Jun 3, 2021, Apr 7, 2021 (3 updates tracked since 2021).

About Pacific Northwest Retina Pllc NPPES

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

PACIFIC NORTHWEST RETINA PLLC (NPI 1558940387) is a healthcare organization registered as a retina specialist in Bellevue, Washington and active in the NPI registry since April 2021. The organization holds 2 active CLIA laboratory certificates, maintains 6 additional practice locations, and lists Charles D Birnbach, Secretary, as its authorized official.

NPPES Registry Identity

NPI1558940387
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NamePACIFIC NORTHWEST RETINA PLLC
Location Address1750 112TH AVE NE STE D050Bellevue, WA 98004-3779
Mailing Address1750 112th Ave Ne Ste D050Bellevue, WA 98004-3779 · (206) 215-3850
Phone(206) 215-3850
Fax(206) 215-3870
Organization SubpartNo
Authorized OfficialCharles D BirnbachSecretary · (425) 296-3837
Enumeration DateApril 7, 2021
Last NPPES UpdateAugust 21, 20233 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1558940387 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 ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
1750 112TH AVE NE STE D050, Bellevue, WA 98004
Open in Google Maps ↗

Secondary Practice Locations 6

Location 1215 E George Hopper RdBurlington, WA 98233-3105 · Phone (206) 215-3850
Location 23105 Old Fairhaven Pkwy Ste 103Bellingham, WA 98225-8212 · Phone (206) 215-3850
Location 31229 Madison St Ste 620Seattle, WA 98104-3304 · Phone (206) 215-3850
Location 4321 Ramsay Way Ste 107Kent, WA 98032-4544 · Phone (206) 215-3850
Location 52205 W Dolarway Rd Ste 2Ellensburg, WA 98926-8241 · Phone (206) 215-3850
Location 66100 219th St SW Ste 280Mountlake Terrace, WA 98043-2222 · Phone (206) 215-3850

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2242863

Pacific Northwest Retina · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2242863
Laboratory TypePhysician Office
Certificate Effective DateNovember 12, 2021
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDavid Saperstein
Laboratory Phone(206) 215-3850
Laboratory LocationPacific Northwest Retina1750 112th Ave NE Ste D050, Bellevue, WA 98004
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2304503

Pacific Northwest Retina · Burlington, WA
Active · expires Apr 4, 2028
CLIA Number50D2304503
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 14, 2024
Certificate Expiration DateApril 4, 2028
Laboratory DirectorDavid Saperstein
Laboratory Phone(206) 215-3850
Laboratory LocationPacific Northwest Retina300 Fashion Way, Burlington, WA 98233
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

CHU JIAN MA MD
Ophthalmology
1750 112TH AVE NE STE D050
BELLEVUE, WA 98004
King County (206) 215-3850
SIBELLE AZAR
Registered Nurse
1750 112TH AVE NE STE D050
BELLEVUE, WA 98004
King County (206) 215-3850
THE RETINA SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
1750 112TH AVE NE STE D050
BELLEVUE, WA 98004
King County (206) 215-3850
LOKA P THANGAMATHESVARAN MD
Ophthalmology
1750 112TH AVE NE STE D050
BELLEVUE, WA 98004
King County (206) 215-3850
SARAH LYNN MORRISSEY PA-C
Physician Assistant
1750 112TH AVE NE STE D050
BELLEVUE, WA 98004
King County (206) 215-3850
STEPHANIE TAMMY HSU MD
Ophthalmology
1750 112TH AVE NE STE D050
BELLEVUE, WA 98004
King County (206) 215-3850
PROLIANCE SURGEONS, INC., P.S.
Ophthalmology
1750 112TH AVE NE STE D050
BELLEVUE, WA 98004
King County (206) 215-3850
DR. NICOLAAS PIET DERUYTER MD
Ophthalmology
1750 112TH AVE NE STE D050
BELLEVUE, WA 98004
King County (206) 215-3850

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 Northwest Retina PLLC's NPI number?

The NPI number for Pacific Northwest Retina PLLC is 1558940387. It was assigned to this organization in the NPPES registry on April 7, 2021.

Where is Pacific Northwest Retina PLLC located?

Pacific Northwest Retina PLLC is located at 1750 112th Ave NE Ste D050, Bellevue, WA 98004. The listed phone number is (206) 215-3850.

What is Pacific Northwest Retina PLLC's specialty?

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

Does Pacific Northwest Retina PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Pacific Northwest Retina PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Pacific Northwest 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 Pacific Northwest Retina PLLC was last updated on August 21, 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.