Organization Active NPI

Cascade Eye & Skin Centers PC

  • Ophthalmology Physician
  • Auburn, WA
National Provider Identifier
1427293109
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
Keith F Dahlhauser, M.D.NPI 1003827171
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7040835MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1087456Cascade Eye and Skin Centers PC205 10TH St NE Ste 119, Auburn, WA 98002Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

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.

View all 83

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

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.

Verify at the official NPI Registry.