Central Washington Eye Clinic PLLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

CENTRAL WASHINGTON EYE CLINIC PLLC

Practice address

427 SW 41St St
Renton, WA 98057-4926

Phone

(425) 000-0000

NPI assigned

Aug 31, 2020

Organization subpart

Yes

Parent organization

CENTRAL WASHINGTON EYE CLINIC PLLCAs reported in NPPES

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

Authorized official

Name

Dr. Abel W Li, MDNPI 1841239399

Title

Member

Phone

(425) 255-4250

Specialties & licenses 1

Addresses

Other names 1

• Washington Valley Eye Surgery Center Doing business as

Tax ID family

Central Washington Eye2 organizations share this tax ID, including this one

Part of

Central Washington Eye

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Central Washington Eye Clinic PLLC

  • Ophthalmology Physician
  • Renton, WA
  • NPI 1972559458
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Central Washington Eye Clinic PLLC

  • Ophthalmology Physician
  • Renton, WA
  • NPI 1972559458

  Member Of

  NPD member

Locations

Practitioners 3

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

• Abel Li, M.D.

  • Ophthalmology Physician
  • Yakima, WA
  • NPI 1841239399
  NPD Authorized official
• Melissa Sun Cho, OD

  • Optometrist
  • Seattle, WA
  • NPI 1285865626
  NPD
• Steven Matthew Ming-Hao Tan, OD

  • Optometrist
  • Woodinville, WA
  • NPI 1689392342
  NPD

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1801409677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 SW 41ST ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574926",
            "telephone_number": "425-255-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 SW 41ST ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980574926",
            "telephone_number": "425-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL WASHINGTON EYE CLINIC PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL WASHINGTON EYE CLINIC PLLC",
        "enumeration_date": "2020-08-31",
        "last_updated": "2021-07-30",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "ABEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "425-255-4250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Valley Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Washington Valley Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chad Smart DDS and Vincent O Kokich Jr DMD MSD PLLC

• Ophthalmologic Surgery Clinic/Center in Renton, WA
• Providers in Renton, WA by specialty
• Ophthalmologic Surgery Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.