PROLIANCE RETINA - NPI 1841568946 - Ophthalmology in Bellevue, WA

Q: What is Proliance Surgeons, Inc., P.S.'s NPI number?

The NPI number for Proliance Surgeons, Inc., P.S. is 1841568946. It was assigned to this organization in the NPPES registry on December 5, 2011. The provider is doing business as Proliance Retina.

Q: What is Proliance Surgeons, Inc., P.S.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

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About Proliance Retina NPPES

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

PROLIANCE RETINA (NPI 1841568946) is a healthcare organization registered as an ophthalmology in Bellevue, Washington and active in the NPI registry since December 2011. The organization maintains 8 additional practice locations and lists Laura Kleisle, Chief Risk Officer, as its authorized official.

NPPES Registry Identity

NPI1841568946

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NamePROLIANCE SURGEONS, INC., P.S.

Location Address1750 112TH AVE NE STE D050Bellevue, WA 98004

Mailing Address1750 112th Ave Ne Ste D050Bellevue, WA 98004-3779 · (206) 215-3850 · Fax (206) 215-3870

Phone(206) 215-3850

Fax(206) 215-3870

Organization SubpartNo

Authorized OfficialLaura KleisleChief Risk Officer · (206) 838-2590

Enumeration DateDecember 5, 2011

Last NPPES UpdateMay 28, 20212 updates tracked since enumeration

NPPES CertifiedMay 28, 2021

✔ NPI 1841568946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in WA · 601484763

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License 601484763 (WA)

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License 601484763 (WA)

1750 112TH AVE NE STE D050, Bellevue, WA 98004

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Other Names 1

Doing Business AsProliance Retina

Secondary Practice Locations 8

Location 13105 Old Fairhaven Pkwy Ste 103Bellingham, WA 98225-8212 · Phone (206) 215-3850 · Fax (206) 215-3870

Location 2215 E George Hopper RdBurlington, WA 98233-3105 · Phone (206) 215-3850 · Fax (206) 215-3870

Location 32205 W Dolarway Rd Ste 2Ellensburg, WA 98926-8241 · Phone (206) 215-3850 · Fax (206) 215-3870

Location 41229 Madison St Ste 680Seattle, WA 98104-3541 · Phone (206) 215-3850 · Fax (206) 215-3870

Location 51229 Madison St Ste 620Seattle, WA 98104-3304 · Phone (206) 215-3850 · Fax (206) 215-3870

Location 66100 219th St SW Ste 280Mountlake Terrace, WA 98043-2222 · Phone (206) 215-3850 · Fax (206) 215-3870

Location 7321 Ramsay Way Ste 107Kent, WA 98032-4544 · Phone (206) 215-3850 · Fax (206) 215-3870

Location 8109 NE Birch StCoupeville, WA 98239-3133 · Phone (206) 215-3850 · Fax (206) 215-3870

Other Identifiers 2

Other288391WA · Labor & Industries

Medicaid2016220WA

Group Practice 1

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

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