PACIFIC NORTHWEST RETINA PLLC
NPI 1558940387
Ophthalmology - Retina Specialist in Bellevue, WA
NPI Status: Active since April 07, 2021
Contact Information
1750 112TH AVE NE STE D050
BELLEVUE, WA
ZIP 98004
Phone: (206) 215-3850
Fax: (206) 215-3870
- Organization
- Ophthalmology
- Retina Specialist
- Accepts Insurance
- CLIA Number: 50D2304503
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-04-2028
About PACIFIC NORTHWEST RETINA PLLC
This page provides the complete NPI Profile along with additional information for Pacific Northwest Retina Pllc, a provider established in Bellevue, Washington operating as a Ophthalmology, focusing in retina specialist . The healthcare provider is registered in the NPI registry with number 1558940387 assigned on April 2021. The practitioner's primary taxonomy code is 207WX0107X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Dr. Charles D Birnbach Md (Secretary)
- NPI
- 1558940387
- Provider Name
- PACIFIC NORTHWEST RETINA PLLC
- Entity Type
- Organization
- Location Address
- 1750 112TH AVE NE STE D050 BELLEVUE, WA 98004
- Location Phone
- (206) 215-3850
- Location Fax
- (206) 215-3870
- Mailing Address
- 1750 112TH AVE NE STE D050 BELLEVUE, WA 98004
- Mailing Phone
- (206) 215-3850
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-07-2021
- Last Update Date
- 08-21-2023
- Code Navigator
Location Map
Secondary Locations
- 3105 Old Fairhaven Pkwy Ste 103
Bellingham, WA 98225
(206) 215-3850 - 6100 219th St SW Ste 280
Mountlake Terrace, WA 98043
(206) 215-3850 - 1229 Madison St Ste 620
Seattle, WA 98104
(206) 215-3850 - 2205 W Dolarway Rd Ste 2
Ellensburg, WA 98926
(206) 215-3850 - 215 E George Hopper Rd
Burlington, WA 98233
(206) 215-3850 - 321 Ramsay Way Ste 107
Kent, WA 98032
(206) 215-3850
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 Retina Specialist
- Taxonomy Code
- 207WX0107X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
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 | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 50D2304503
- Facility Type
- Community Clinic
- Certificate Effective Date
- May 14, 2024
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- DAVID SAPERSTEIN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pacific Northwest Retina Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1558940387, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
BELLEVUE, WA 98004
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1558940387, enumerated as an "organization" on April 07, 2021.
The provider is located at 1750 112TH AVE NE STE D050 BELLEVUE, WA 98004 and the phone number is (206) 215-3850.
Ophthalmology with taxonomy code 207WX0107X and a focus in Retina Specialist.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.
