PROLIANCE RETINA
NPI 1841568946
Ophthalmology in Bellevue, WA

Active since December 05, 2011
1750 112TH AVE NE STE D050, BELLEVUE, WA 98004(206) 215-3850(206) 215-3870 Get Directions Write a Review

NPPES record last updated: May 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2021, Aug 30, 2018 (2 updates tracked since 2018).

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
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

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

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)

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

Clinicians Billing Medicare Through This Organization

589

Medicare enrollment records show 589 clinicians reassign Medicare billing to Proliance Retina, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 216 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 27

Orthopedic Surgery169
Physical Therapist in Private Practice97
Diagnostic Radiology64
Otolaryngology52
Occupational Therapist in Private Practice38
Qualified Audiologist26
Nurse Practitioner23
Obstetrics/Gynecology20
19 other specialties100

Nearest to this location (20)

See all 589
Ophthalmology
NPI 1457350670
1750 112TH AVE NE SUITE D050
Bellevue, WA 98004
(206) 215-3850
✔ PECOSSame address
Ophthalmology
NPI 1144255936
1750 112TH AVE NE SUITE D050
Bellevue, WA 98004
(206) 215-3850
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1457408064
1750 112TH AVE NE SUITE D050
Bellevue, WA 98004
(206) 215-3850
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1386706174
1750 112TH AVE NE SUITE D050
Bellevue, WA 98004
(206) 215-3850
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1649279456
1750 112TH AVE NE SUITE D050
Bellevue, WA 98004
(206) 215-3850
✔ PECOS✔ Accepts MedicareSame address
Ophthalmology
NPI 1508946625
1750 112TH AVE NE SUITE D050
Bellevue, WA 98004
(206) 215-3850
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1568443901
1810 116TH AVE NE STE D4
Bellevue, WA 98004
(425) 283-5230
✔ Accepts Medicare0.2 mi
Occupational Therapist in Private Practice
NPI 1740262948
1810 116TH AVE NE STE D4
Bellevue, WA 98004
(425) 283-5230
✔ Accepts Medicare0.2 mi
Otolaryngology
NPI 1437151081
1800 116TH AVE NE SUITE 102
Bellevue, WA 98004
(425) 451-3710
✔ PECOS✔ Accepts Medicare0.2 mi
Otolaryngology
NPI 1740393461
1800 116TH AVE NE STE 102
Bellevue, WA 98004
(425) 451-3710
✔ PECOS0.2 mi
Physical Therapist in Private Practice
NPI 1932656287
1200 112TH AVE NE SUITE C260
Bellevue, WA 98004
(425) 462-5006
✔ Accepts Medicare0.3 mi
Physical Therapist in Private Practice
NPI 1417685223
1200 112TH AVE NE STE C260
Bellevue, WA 98004
(425) 313-3055
✔ Accepts Medicare0.3 mi
Qualified Audiologist
NPI 1164695201
1231 116TH AVE NE SUITE 915
Bellevue, WA 98004
(425) 454-3938
✔ Accepts Medicare0.3 mi
Orthopedic Surgery
NPI 1881665677
1231 116TH AVE NE SUITE 750
Bellevue, WA 98004
(425) 455-3600
✔ PECOS0.3 mi
General Surgery
NPI 1588822951
1231 116TH AVE NE SUITE 535
Bellevue, WA 98004
(425) 688-1916
✔ PECOS✔ Accepts Medicare0.3 mi
General Surgery
NPI 1922076520
1231 116TH AVE NE SUITE 535
Bellevue, WA 98004
(425) 688-1916
✔ PECOS✔ Accepts Medicare0.3 mi
Physical Medicine and Rehabilitation
NPI 1851666929
1135 116TH AVE NE STE 510
Bellevue, WA 98004
(425) 394-1200
✔ PECOS✔ Accepts Medicare0.3 mi
Diagnostic Radiology
NPI 1225458839
11511 NE 10TH ST
Bellevue, WA 98004
(425) 502-3000
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1447755764
3101 NORTHUP WAY STE 101
Bellevue, WA 98004
(425) 455-3600
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1538996921
3101 NORTHUP WAY STE 201
Bellevue, WA 98004
(425) 455-3600
✔ PECOS✔ Accepts Medicare0.9 mi
See all 589 clinicians

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 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.

Where is Proliance Surgeons, Inc., P.S. located?

Proliance Surgeons, Inc., P.S. is located at 1750 112th Ave NE Ste D050, Bellevue, WA 98004. The listed phone number is (206) 215-3850.

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

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

Is Proliance Surgeons, Inc., P.S. enrolled in Medicare?

Yes. Proliance Surgeons, Inc., P.S. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proliance Surgeons, Inc., P.S.?

According to the CMS Revalidation Reassignment List (October 2026 release), 589 clinicians in 27 Medicare specialties reassign their Medicare billing to Proliance Surgeons, Inc., P.S.. 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. The largest specialties are Orthopedic Surgery (169), Physical Therapist in Private Practice (97) and Diagnostic Radiology (64). Of these, 6 practice at this address and 216 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Proliance Surgeons, Inc., P.S. accept?

Health plans from Ambetter Health list Proliance Surgeons, Inc., P.S. 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 Proliance Surgeons, Inc., P.S. was last updated on May 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.