Active NPI
Aesthetic Eye Associates Ambulatory Surgery Center PLLC
- Ophthalmologic Surgery Clinic/Center
- Kirkland, WA
National Provider Identifier
1689695231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmologic Surgery Clinic/Center
- Legal business name
- AESTHETIC EYE ASSOCIATES AMBULATORY SURGERY CENTER PLLC
- Practice address
- 625 4TH Ave
Ste 301
Kirkland, WA 98033-9028 - Phone
- (425) 216-7200
- Fax
- (425) 216-7272
- NPI assigned
- Jul 21, 2006
- Organization subpart
- Yes
- Parent organization
- AESTHETIC EYE ASSOCIATES PS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janet Jordan
- Title
- Administrator
- Phone
- (425) 216-7200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmologic Surgery Clinic/Center | 261QS0132X | WA | Primary |
Addresses
Primary practice location
625 4TH Ave
Ste 301
Kirkland, WA 98033-9028
Mailing address
625 4TH Ave
Suite 302
Kirkland, WA 98033-9028
Phone (425) 216-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8905884 | Other | WA | PTAN |
National Provider Directory
National Provider Directory- Part of
- Aesthetic Eye Associate
Locations
625 4th Ave
Ste 301
Kirkland, WA 98033
Phone 42521672007201
625 4th Ave
Ste 302
Kirkland, WA 98033
Phone 42521672007201
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Ambulatory Surgical Clinic/Center
- Kirkland, WA
- NPI 1023043445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371600000000",
"number": "1689695231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 4TH AVE",
"address_2": "SUITE 302",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980339028",
"telephone_number": "425-216-7200",
"fax_number": "425-216-7272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 4TH AVE",
"address_2": "STE 301",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980339028",
"telephone_number": "425-216-7200",
"fax_number": "425-216-7272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AESTHETIC EYE ASSOCIATES AMBULATORY SURGERY CENTER PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AESTHETIC EYE ASSOCIATES PS",
"enumeration_date": "2006-07-21",
"last_updated": "2013-06-19",
"status": "A",
"authorized_official_last_name": "JORDAN",
"authorized_official_first_name": "JANET",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "425-216-7200"
},
"taxonomies": [
{
"code": "261QS0132X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ophthalmologic Surgery",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "G8905884",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.