Organization Active NPI

Lomas Eye Care Center P.L.L.C.

  • Ophthalmologic Surgery Clinic/Center
  • Renton, WA
National Provider Identifier
1467588657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
License
602 254 367(001786) Issued in WA
Legal business name
LOMAS EYE CARE CENTER P.L.L.C.
Practice address
17800 Talbot Rd S
Suite a
Renton, WA 98055-5740
Phone
(425) 255-0986
Fax
(425) 271-5703
NPI assigned
Feb 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Marilyn Kritzer
Title
Administrator
Phone
(425) 524-0948

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmologic Surgery Clinic/Center 261QS0132X 602 254 367(001786) WA Primary

Addresses

Primary practice location

17800 Talbot Rd S
Suite a
Renton, WA 98055-5740

Mailing address

17800 Talbot Rd S
Suite a
Renton, WA 98055-5740
Phone (425) 255-0986

Other identifiers 2

IdentifierTypeStateIssuer
L09287OtherWAREGENCE
P00080131OtherWARAILROAD MEDICARE

Other names 1

  • Lomas Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

17800 Talbot Rd S
Ste A
Renton, WA 98055
Phone (425) 255-0986

Practitioners & affiliated clinicians

Practitioners 2

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": "1172275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467588657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17800 TALBOT RD S",
            "address_2": "SUITE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555740",
            "telephone_number": "425-255-0986",
            "fax_number": "425-271-5703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 TALBOT RD S",
            "address_2": "SUITE A",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555740",
            "telephone_number": "425-255-0986",
            "fax_number": "425-271-5703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMAS EYE CARE CENTER P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRITZER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "425-524-0948",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": "WA",
            "license": "602 254 367(001786)",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "L09287",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00080131",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lomas Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.