Individual provider Active NPI

Adrian Eoin Omalley, MD

  • Ophthalmology Physician
  • Silverdale, WA
National Provider Identifier
1295729010
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD60140589 Issued in WA
Practice address
9800 Levin Rd NW
#203
Silverdale, WA 98383-7849
Phone
(360) 307-0300
Fax
(360) 307-0302
NPI assigned
Sep 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD60140589 WA Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X MD60140589 WA

Addresses

Primary practice location

9800 Levin Rd NW
#203
Silverdale, WA 98383-7849

Mailing address

22232 17TH Ave SE Ste 308
Bothell, WA 98021-7425
Phone (425) 296-3837

Other identifiers 1

IdentifierTypeStateIssuer
2006205MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623001018 WA Practitioner - Ophthalmology 0840281796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at Houston, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacific Northwest Retina PLLCGroup PAC ID 8820494073, 19 clinicians

Practice addresses (Care Compare)

1750 112TH Ave NE
Suite D050
Bellevue, WA 98004-3779
Phone (206) 215-3850

Merit-based Incentive Payment System (MIPS)

Final score
98.66 of 100Reported as individual
Quality
97.32
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60140589WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Center NW, PLLC CurrentSince Jun 21, 2010 Accepting new patients
Ronan O'Malley, MD & Adrian O'Malley, MD PA Ophthalmology Current Accepting new patients
Pacific Northwest Retina PLLC Retina Specialist CurrentSince Oct 1, 2023 Accepting new patients
The Retina Surgery Center LLC CurrentSince Sep 5, 2023 Accepting new patients
Proliance Surgeons Inc P S Past Accepting new patients

Locations

6750 West Loop S
Ste 1060
Bellaire, TX 77401
Phone (713) 521-0555

1750 112th Ave NE
Ste D050
Bellevue, WA 98004
Phone (425) 296-3837

3105 Old Fairhaven Pkwy
Ste C
Bellingham, WA 98225

22232 17th Ave SE
Ste 308
Bothell, WA 98021

321 Ramsay Way
Ste 107
Kent, WA 98032

601 Garry Oak Dr
Sequim, WA 98382
Phone (360) 683-5100

9800 Levin Rd NW
Ste 203
Silverdale, WA 98383
Phone (360) 307-0300

Interoperability endpoints

  • Direct secure messaging: adrian.omalleymd.p16@direct.pnwr.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1295729010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22232 17TH AVE SE STE 308",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217425",
            "telephone_number": "425-296-3837",
            "fax_number": "206-215-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 LEVIN RD NW",
            "address_2": "#203",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837849",
            "telephone_number": "360-307-0300",
            "fax_number": "360-307-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMALLEY",
        "first_name": "ADRIAN",
        "middle_name": "EOIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-08",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD60140589",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WA",
            "license": "MD60140589",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006205",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.