Organization Active NPI

Aesthetic Eye Associates Ambulatory Surgery Center PLLC

  • Ophthalmologic Surgery Clinic/Center
  • Kirkland, WA
National Provider Identifier
1689695231
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X
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 PSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
G8905884OtherWAPTAN

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.

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.

Verify at the official NPI Registry.