NPIMap

Organization Active NPI

Clearly Lasik, Inc.

  • Ophthalmology Physician
  • Renton, WA
National Provider Identifier
1902063290
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
40602 Issued in WA
Legal business name
CLEARLY LASIK, INC.
Practice address
900 SW 16TH St
Suite 200
Renton, WA 98057-2631
Phone
(425) 525-1000
Fax
(425) 525-1001
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Christian Monea
Title
Coo/Cfo
Phone
(425) 525-2206

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 40602 WA Primary

Addresses

Primary practice location

900 SW 16TH St
Suite 200
Renton, WA 98057-2631

Mailing address

900 SW 16TH St
Suite 200
Renton, WA 98057-2631
Phone (425) 525-1000

National Provider Directory

National Provider Directory
Tax ID family
Clearly Lasik Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1902063290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SW 16TH ST",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572631",
            "telephone_number": "425-525-1000",
            "fax_number": "425-525-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SW 16TH ST",
            "address_2": "SUITE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572631",
            "telephone_number": "425-525-1000",
            "fax_number": "425-525-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARLY LASIK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "MONEA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "425-525-2206"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "40602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.