Cascade Eye & Skin Centers PC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

601325507 Issued in WA

Legal business name

CASCADE EYE & SKIN CENTERS PC

Doing business as

Cascade Laser & Surgery Center

Practice address

1703 S Meridian Ste 201
Puyallup, WA 98371-7590

Phone

(253) 848-3000

NPI assigned

Feb 12, 2007

Last updated

Mar 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole Jelmberg-Brayton

Title

Business Operations Manager

Phone

(253) 446-3904

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Cascade Laser & Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Cascade Eye & Skin Centers P.C.

  • Ophthalmology Physician
  • Puyallup, WA
  • NPI 1033204938

  4486541554

  Same PAC ID

Listed as

Cascade Eye and Skin Centers PCCCN 50C0001134

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven Michael Brady, D.O.

  • Ophthalmology Physician
  • Puyallup, WA
  • NPI 1396873246
  Medicare reassignment NPD
• Matthew Cardinale, D.O.

  • Ophthalmology Physician
  • Seattle, WA
  • NPI 1982145819
  Medicare reassignment NPD
• Rachael D Elrod, MD

  • Ophthalmology Physician
  • Puyallup, WA
  • NPI 1053322156
  Medicare reassignment NPD
• Travis C Frazier, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Puyallup, WA
  • NPI 1194790998
  Medicare reassignment NPD
• Jennifer Paek, MD

  • Dermatology Physician
  • Arlington, WA
  • NPI 1457871139
  Medicare reassignment NPD
• Tarak H. Patel, MD

  • Plastic Surgery Physician
  • Joint Base Lewis McChord, WA
  • NPI 1366627390
  Medicare reassignment NPD
• Nikhil Jai Godbole, DO

  • Ophthalmology Physician
  • Fort Sam Houston, TX
  • NPI 1205259116

  WA

  Medicare reassignment NPD

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1699817346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 S MERIDIAN",
            "address_2": "SUITE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717590",
            "telephone_number": "253-770-7708",
            "fax_number": "253-770-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 S MERIDIAN STE 201",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717590",
            "telephone_number": "253-848-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE EYE & SKIN CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "JELMBERG-BRAYTON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "BUSINESS OPERATIONS MANAGER",
        "authorized_official_telephone_number": "253-446-3904"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "601325507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA. STATE LABOR & INDUSTR",
            "identifier": "111019",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7079189",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Laser & Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christie H Carter
• Alexandra Nicole Carvalho, LMT
• Julia Kimberly Carvalho, ARNP
• Cascade Audiology Incorperated (Professional Hearing Services)
• Cascade Eye & Skin Centers P.C.
• Cascade Hernia and Surgical Solutions PS
• Cascade Hernia and Surgical Solutions PS (Meridian Surgical Services)
• Robert J Case
• Michael Arthur Casey, M.D.
• Savanna Castellano, LMP

• Ambulatory Surgical Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Ambulatory Surgical Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.