Individual provider Active NPI

Benjamin Reiss, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Auburn, WA
National Provider Identifier
1659637668
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
60820884 Issued in WA
Practice address
125 3Rd St NE Ste 200
Auburn, WA 98002-4035
Phone
(253) 275-1000
Fax
(253) 275-9000
NPI assigned
Apr 3, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 60820884 WA
Retina Specialist (Ophthalmology) Physician 207WX0107X 60820884 WA Primary

Addresses

Primary practice location

125 3Rd St NE Ste 200
Auburn, WA 98002-4035

Mailing address

125 3Rd St NE Ste 200
Auburn, WA 98002-4035
Phone (253) 275-1000

Other practice location 1

4009 Talbot Rd S Ste 400
Renton, WA 98055-5781
Phone (253) 275-1000

Other practice location 2

1901 S Union Ave Ste B5004
Tacoma, WA 98405-1805
Phone (253) 275-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180727001849 WA Practitioner - Ophthalmology 9537451315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Ohio State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Retina PLLCGroup PAC ID 6002295508, 4 clinicians
PNW Eye PLLCGroup PAC ID 0840458261, 10 clinicians

Practice addresses (Care Compare)

125 3Rd St NE
Suite 200
Auburn, WA 98002-4035
Phone (253) 275-1000

3602 S 19TH St
Tacoma, WA 98405-1919
Phone (253) 759-5555

4009 Talbot Rd S
Suite 400
Renton, WA 98055-5781
Phone (253) 295-1000

Hospital & facility affiliations

  • Valley Medical Center Hospital, Renton, WA, CCN 500088

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60820884WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Retina, PLLC Ophthalmology CurrentSince Apr 5, 2022 Accepting new patients

Locations

125 3rd St NE
Ste 200
Auburn, WA 98002
Phone (253) 275-1000

4009 Talbot Rd S
Ste 400
Renton, WA 98055
Phone (253) 275-1000

1901 S Union Ave
Ste B5004
Tacoma, WA 98405
Phone (253) 275-1000

Interoperability endpoints

  • Direct secure messaging: breiss@waretina.intellechartdirect.net
  • Direct secure messaging: breiss@pnwe.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1333411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1659637668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 3RD ST NE STE 200",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024035",
            "telephone_number": "253-275-1000",
            "fax_number": "253-275-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 3RD ST NE STE 200",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980024035",
            "telephone_number": "253-275-1000",
            "fax_number": "253-275-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4009 Talbot Rd S Ste 400",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555781",
            "country_code": "US",
            "telephone_number": "253-275-1000",
            "fax_number": "253-275-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Union Ave Ste B5004",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984051805",
            "country_code": "US",
            "telephone_number": "253-275-1000",
            "fax_number": "253-275-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REISS",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-03",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "60820884",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "WA",
            "license": "60820884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.