Organization Active NPI

Retina Center NW, PLLC

  • Specialist
  • Silverdale, WA
National Provider Identifier
1346259975
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RETINA CENTER NW, PLLC
Practice address
9800 Levin Rd NW
Suite 203
Silverdale, WA 98383-7849
Phone
(360) 307-0300
Fax
(360) 307-0302
NPI assigned
Aug 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Todd E Schneiderman, MDNPI 1033141007
Title
Physician
Phone
(360) 307-0300

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 Primary

Addresses

Primary practice location

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

Mailing address

9800 Levin Rd NW
Suite 203
Silverdale, WA 98383-7849
Phone (360) 307-0300

Other identifiers 1

IdentifierTypeStateIssuer
7129216MedicaidWA

Other names 1

  • Todd E Schneiderman, MD, PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050629000254 WA Part B Supplier - Clinic/Group Practice 3779529862 Receives reassigned benefits from 3 practitioners
Practice locations: Sequim, WA; Silverdale, WA

National Provider Directory

National Provider Directory

Locations

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

1780 NW Myhre Rd
Ste 2140
Silverdale, WA 98383
Phone (360) 307-0300

Interoperability endpoints

  • Direct secure messaging: dspinak@retinacenternw.intellechartdirect.net
  • Direct secure messaging: tschneiderman@retinacenternw.intellechartdirect.net
  • Direct secure messaging: jxu@retinacenternw.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 4

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1346259975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 LEVIN RD NW",
            "address_2": "SUITE 203",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837849",
            "telephone_number": "360-307-0300",
            "fax_number": "360-307-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 LEVIN RD NW",
            "address_2": "SUITE 203",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837849",
            "telephone_number": "360-307-0300",
            "fax_number": "360-307-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CENTER NW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDERMAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-307-0300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7129216",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Todd E Schneiderman, MD, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.