Bellingham Retina Specialists, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD00049354 Issued in WA

Legal business name

BELLINGHAM RETINA SPECIALISTS, PLLC

Practice address

200 Westerly Rd
Suite 101
Bellingham, WA 98226-6489

Phone

(360) 656-5839

NPI assigned

Dec 8, 2009

Organization subpart

No

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

Authorized official

Name

Julia A Hassler

Title

Office Manager

Phone

(360) 656-5892

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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

• Amador P. Subong, M.D.

  • Ophthalmology Physician
  • Bellingham, WA
  • NPI 1982782710
  Medicare reassignment Care Compare group NPD
• Eric Neil Subong, M.D.

  • Ophthalmology Physician
  • Bellingham, WA
  • NPI 1396788725
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1659600443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WESTERLY RD",
            "address_2": "SUITE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266489",
            "telephone_number": "360-656-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WESTERLY RD",
            "address_2": "SUITE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266489",
            "telephone_number": "360-656-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM RETINA SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2017-04-21",
        "status": "A",
        "authorized_official_last_name": "HASSLER",
        "authorized_official_first_name": "JULIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-656-5892"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD00049354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8512683",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bellingham Pediatric Dentistry
• Bellingham Pediatric Therapy
• Bellingham Performance Chiropractic LLC
• Bellingham Physical Therapy, PLLC
• Bellingham Radiation Oncology PLLC
• Bellingham School District
• Bellingham South of Cascadia, LLC
• Bellingham Spine Pain Specialists, P.S.
• Bellingham Sports and Spine Physical Therapy
• Bellingham Technical College

• Specialist in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.