Peter B Shelley MD PS

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MD00018850 Issued in WA

Legal business name

PETER B SHELLEY MD PS

Doing business as

Federal Way Eye & Laser Center

Practice address

32123 1St Ave S
Suite a-3
Federal Way, WA 98003-5721

Phone

(253) 838-6272

Fax

(253) 874-2690

NPI assigned

Feb 26, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Doris L Wilson

Title

Office Manager

Phone

(253) 838-6272

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Federal Way Eye & Laser Center Doing business as

Locations

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1184893901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32123 1ST AVE S",
            "address_2": "SUITE A-3",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035721",
            "telephone_number": "253-838-6272",
            "fax_number": "253-874-2690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32123 1ST AVE S",
            "address_2": "SUITE A-3",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035721",
            "telephone_number": "253-838-6272",
            "fax_number": "253-874-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETER B SHELLEY MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-838-6272",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "MD00018850",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1748805",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Federal Way Eye & Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evan Hurst Perry, DPT
• Stacey L Perry, DPM
• Karin Persson-Medina, LMP
• Asad Pervez, MD
• Thomas C Petek, PHD
• Peter Forber Vanderven PLLC (South Sound Oral Medicine)
• Jo Ann Peter, PT
• Sarah J Peters, LMP
• Marc G Petersen, LMP
• Amber N Peterson, PSYD, LP

• Health Service Clinic/Center in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.