PACIFIC NORTHWEST EYE SURGERY CENTER
NPI 1750663084
Clinic/Center - Ambulatory Surgical in Tacoma, WA
About Pacific Northwest Eye Surgery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC NORTHWEST EYE SURGERY CENTER (NPI 1750663084) is a healthcare organization registered as an ambulatory surgical in Tacoma, Washington and active in the NPI registry since September 2011. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Robyn Wallace, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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 Northwest Eye Surgery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Pacific Northwest Eye Surgery Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
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 50D2031735
Pacific Northwest Eye Surgery Center · Tacoma, WAAreas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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 Pnw Eye PLLC's NPI number?
The NPI number for Pnw Eye PLLC is 1750663084. It was assigned to this organization in the NPPES registry on September 13, 2011. The provider is doing business as Pacific Northwest Eye Surgery Center.
Where is Pnw Eye PLLC located?
Pnw Eye PLLC is located at 3602 S 19th St, Tacoma, WA 98405. The listed phone number is (253) 759-5555.
What is Pnw Eye PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.
Is Pnw Eye PLLC enrolled in Medicare?
Yes. Pnw Eye PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pnw Eye PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Ophthalmology, reassign their Medicare billing to Pnw Eye 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pnw Eye PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 50D2031735) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pnw Eye PLLC accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Pnw Eye 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 Pnw Eye PLLC was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Pacific Northwest Eye Surgery Center · NPI 1750663084
Ambulatory Surgical organization in Tacoma, Washington. Organization record, active in the CMS NPPES registry since September 13, 2011.
## Identity
- **NPI:** 1750663084 (Entity type: Organization)
- **Enumerated:** September 13, 2011
- **Primary specialty:** Clinic/Center - Ambulatory Surgical · taxonomy 261QA1903X
- **Legal business name:** Pnw Eye Pllc
- **Organization subpart:** No
- **Authorized official:** Robyn Wallace, ADMINISTRATOR
## Practice location
- **Address:** 3602 S 19TH ST, Tacoma, WA 98405-1919
- **Phone:** (253) 759-5555
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Ophthalmology) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 13, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750663084) · Data from the CMS NPPES public registry.