Active NPI
Eye MDS of Puget Sound PLLC
- Ambulatory Surgical Clinic/Center
- Tacoma, WA
National Provider Identifier
1891722609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Certified Registered Nurse Anesthetist
- Tacoma, WA
- NPI 1356340335
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.