Summit Eye Consultants PLLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

License

39827 Issued in WA

Legal business name

SUMMIT EYE CONSULTANTS PLLC

Doing business as

Summit Eye Consultants

Practice address

945 Hildebrand LN NE Ste 235
Bainbridge Island, WA 98110-2877

Phone

(206) 201-3669

NPI assigned

Jun 22, 2018

Organization subpart

No

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

Authorized official

Name

Jacqueline Wong, MDNPI 1760479323

Title

Managing Owner

Phone

(206) 201-3669

Specialties & licenses 1

Addresses

Other names 1

• Summit Eye Consultants Doing business as

Locations

Practitioners 1

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

• Jacqueline W Wong, MD

  • Ophthalmology Physician
  • Bainbridge Island, WA
  • NPI 1760479323
  NPD (past) Authorized official

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1356836357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 HILDEBRAND LN NE STE 235",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102877",
            "telephone_number": "206-201-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 HILDEBRAND LN NE STE 235",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102877",
            "telephone_number": "206-201-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT EYE CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "206-201-3669",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WA",
            "license": "39827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Eye Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Linne Stringer
• Maya Subbukumar, M.SC., CCC, SLP
• Stacy Marie Sugg
• Lisa Sullivan, LMP
• Dora Summers-Ewing, PH.D
• Jessica Dawn Sumsky, RN
• Sunbreak Psychiatry, PLLC
• Edward Kenneth Surridge, LMFT
• Susan Frances Hyman
• T&L Vo, PLLC (Ihland Garden Dental Care)

• Retina Specialist (Ophthalmology) Physician in Bainbridge Island, WA
• Providers in Bainbridge Island, WA by specialty
• Retina Specialist (Ophthalmology) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.