Pacific Retina Specialists, PS

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PACIFIC RETINA SPECIALISTS, PS

Practice address

1536 N 115TH St
Suite 300
Seattle, WA 98133-8400

Phone

(206) 368-5457

Fax

(206) 368-0622

NPI assigned

Dec 31, 2006

Organization subpart

No

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

Authorized official

Name

Jay Max Friedman, M.D.

Title

President

Phone

(206) 368-5457

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Jay M. Friedman, M.D., P.S. Former legal business name

Locations

Practitioners 4

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

• Scott M Warden, M.D.

  • Ophthalmology Physician
  • Everett, WA
  • NPI 1407910748
  NPD (past)
• Jacqueline W Wong, MD

  • Ophthalmology Physician
  • Bainbridge Island, WA
  • NPI 1760479323
  NPD (past)
• Richard Paul Corey, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Provo, UT
  • NPI 1568529105
  NPD (past)
• Michael Kai-Jia Lam, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Houston, TX
  • NPI 1548200835
  NPD (past)

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

{
    "created_epoch": "1167523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266883200000",
    "number": "1215093307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34935",
            "address_2": "DEPT 66",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241935",
            "telephone_number": "206-368-5457",
            "fax_number": "206-368-0622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N 115TH ST",
            "address_2": "SUITE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338400",
            "telephone_number": "206-368-5457",
            "fax_number": "206-368-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RETINA SPECIALISTS, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-31",
        "last_updated": "2010-02-23",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-368-5457",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA DEPT OF LABOR & INDUST",
            "identifier": "0138953",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7097249",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jay M. Friedman, M.D., P.S.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ophthalmology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Ophthalmology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.