NPIMap

Organization Active NPI

Retina & Macula Specialists PS

  • Ophthalmology Physician
  • Kennewick, WA
National Provider Identifier
1285910489
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RETINA & MACULA SPECIALISTS PS
Practice address
6917 W Grandridge Blvd
Suite a
Kennewick, WA 99336-7737
Phone
(253) 207-5053
Fax
(253) 573-0942
NPI assigned
Nov 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Authorized official

Name
Ms. Paulinne D Enz
Title
Office Manager
Phone
(253) 573-0948

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

6917 W Grandridge Blvd
Suite a
Kennewick, WA 99336-7737

Mailing address

2914 S Alder St
Tacoma, WA 98409-4819
Phone (253) 272-9245

National Provider Directory

National Provider Directory
Tax ID family
Retina and Macula Specialists PS4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

118 W 1st St
Aberdeen, WA 98520
Phone (360) 532-3773

2914 S Alder St
Tacoma, WA 98409
Phone (253) 272-9245

Practitioners & affiliated clinicians

Practitioners 11

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": "1320105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1285910489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 S ALDER ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984094819",
            "telephone_number": "253-272-9245",
            "fax_number": "253-272-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 W GRANDRIDGE BLVD",
            "address_2": "SUITE A",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367737",
            "telephone_number": "253-207-5053",
            "fax_number": "253-573-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA & MACULA SPECIALISTS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "ENZ",
        "authorized_official_first_name": "PAULINNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "253-573-0948",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.