Active NPI
Cascade Eye & Skin Centers PC
- Ophthalmology Physician
- Auburn, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- CASCADE EYE & SKIN CENTERS PC
- Practice address
- 205 10TH St NE Ste 119
Auburn, WA 98002-4045 - Phone
- (253) 848-3000
- NPI assigned
- Dec 9, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith F Dahlhauser, M.D.
- Title
- President
- Phone
- (253) 848-3000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
205 10TH St NE Ste 119
Auburn, WA 98002-4045
Mailing address
1703 S Meridian
Suite 101
Puyallup, WA 98371-7590
Phone (253) 848-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7040835 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310000465 | WA | Part B Supplier - Clinic/Group Practice | 4486541554 |
Receives reassigned benefits from 47 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Bonney Lake, WA; University Place, WA; Puyallup, WA; Olympia, WA; Gig Harbor, WA; Auburn, WA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D1087456 | Cascade Eye and Skin Centers PC | Provider-performed microscopy | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
18209 State Route 410 E
Ste 100
Bonney Lake, WA 98391
Phone (253) 826-5500
1033 Regents Blvd
Ste 204
Fircrest, WA 98466
Phone (253) 564-1288
6401 Kimball Dr
Ste 203
Gig Harbor, WA 98335
Phone (253) 564-3365
1703 S Meridian
Ste 101
Puyallup, WA 98371
Phone (253) 770-7708
1924 S Cedar St
Ste B
Tacoma, WA 98405
Phone (253) 272-9309
5225 Cirque Dr W
University Place, WA 98467
Phone (253) 564-3365
Practitioners & affiliated clinicians
Practitioners 83
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Puyallup, WA
- NPI 1003827171
-
- Pediatric Dermatology Physician
- Puyallup, WA
- NPI 1568842185
-
- Dermatology Physician
- Puyallup, WA
- NPI 1386271856
-
- Physician Assistant
- Enumclaw, WA
- NPI 1508460023
-
- Adult Health Nurse Practitioner
- Puyallup, WA
- NPI 1821642026
-
- Optometrist
- Puyallup, WA
- NPI 1528742889
-
- Glaucoma Specialist (Ophthalmology) Physician
- Puyallup, WA
- NPI 1194790998
-
- Dermatology Physician
- Port Orchard, WA
- NPI 1750357802
-
- Anatomic Pathology Physician
- Puyallup, WA
- NPI 1831500362
-
- Ophthalmology Physician
- Puyallup, WA
- NPI 1063755791
-
- Dermatology Physician
- Puyallup, WA
- NPI 1699194175
-
- Dermatology Physician
- Bellingham, WA
- NPI 1497826424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228780800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710115200000",
"number": "1427293109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1703 S MERIDIAN",
"address_2": "SUITE 101",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983717590",
"telephone_number": "253-848-3000",
"fax_number": "253-845-8750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 10TH ST NE STE 119",
"city": "AUBURN",
"state": "WA",
"postal_code": "980024045",
"telephone_number": "253-848-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASCADE EYE & SKIN CENTERS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-09",
"last_updated": "2024-03-11",
"certification_date": "2024-03-11",
"status": "A",
"authorized_official_last_name": "DAHLHAUSER",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "253-848-3000",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7040835",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
- Henry Carranza
- Andrew Carter
- Jamie Carter
- Cascade Chiropractic
- Cascade Emergency Physicians Inc.
- Cascade Medical Investors Limited Partnership (Life Care Center of Auburn)
- Cascade Surgery Associates, PLLC (Auburn Neurological Institute)
- Cascade Surgery Associates, PLLC (Cascade Orthopaedics)
- Cascade Surgery Associates, PLLC (Cascade Surgery Center)
- Cascade Surgery Associates, PLLC (Cascade Imaging)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.