Organization Active NPI

Eye MDS of Puget Sound PLLC

  • Ambulatory Surgical Clinic/Center
  • Tacoma, WA
National Provider Identifier
1891722609
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
EYE MDS OF PUGET SOUND PLLC
Practice address
4707 S 19TH St Lowr Level
Tacoma, WA 98405-1157
Phone
(253) 442-2234
Fax
(253) 752-8800
NPI assigned
Jun 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Melinda Blackwell
Title
Administrator
Phone
(253) 442-2234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4707 S 19TH St Lowr Level
Tacoma, WA 98405-1157

Mailing address

4707 S 19TH St
Suite 210
Tacoma, WA 98405-1151
Phone (253) 272-4600

Other names 1

  • Narrows Eye Surgery Center Doing business as

National Provider Directory

National Provider Directory

Locations

4717 S 19th St
Ste 10
Tacoma, WA 98405
Phone (253) 272-4600

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1891722609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 S 19TH ST",
            "address_2": "SUITE 210",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051151",
            "telephone_number": "253-272-4600",
            "fax_number": "253-272-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4707 S 19TH ST LOWR LEVEL",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051157",
            "telephone_number": "253-442-2234",
            "fax_number": "253-752-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE MDS OF PUGET SOUND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-27",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "BLACKWELL",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "253-442-2234"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Narrows Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; 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.