Organization Active NPI

Retina Associates of Spokane PS

  • Specialist
  • Spokane, WA
National Provider Identifier
1083784086
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20889 Issued in WA
Legal business name
RETINA ASSOCIATES OF SPOKANE PS
Practice address
520 S Cowley St
Spokane, WA 99202-1315
Phone
(509) 232-8731
Fax
(509) 747-0806
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Larry Lee Milsow, M.D.NPI 1760468581
Title
President
Phone
(509) 232-8731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 20889 WA Primary

Addresses

Primary practice location

520 S Cowley St
Spokane, WA 99202-1315

Mailing address

520 S Cowley St
Spokane, WA 99202-1315
Phone (509) 232-8731

National Provider Directory

National Provider Directory

Locations

8200 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 736-0826

520 S Cowley St
Spokane, WA 99202
Phone (509) 232-8731

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083784086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S COWLEY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021315",
            "telephone_number": "509-232-8731",
            "fax_number": "509-747-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S COWLEY ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021315",
            "telephone_number": "509-232-8731",
            "fax_number": "509-747-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA ASSOCIATES OF SPOKANE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILSOW",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-232-8731",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "20889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.