Physicians Eye Surgery Center, Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

600630040 Issued in WA

Legal business name

PHYSICIANS EYE SURGERY CENTER, INC

Practice address

3930 Hoyt Ave
Everett, WA 98201-4919

Phone

(425) 259-2020

Fax

(425) 259-2801

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Roberta Joselovitz

Title

Practice Administrator

Phone

(425) 259-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Listed as

Physicians Eye Surgery Center IncCCN 50C0001019

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

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

• Alex Paul Beazer, M.D.

  • Ophthalmology Physician
  • Seattle, WA
  • NPI 1942662168
  NPD (past)
• Thomas W Jones III, MD

  • Ophthalmology Physician
  • Everett, WA
  • NPI 1205195641
  NPD (past)
• Thomas W Jones Jr., M.D.

  • Ophthalmology Physician
  • Everett, WA
  • NPI 1578587002
  NPD (past)
• Christina Lieu, MD

  • Ophthalmology Physician
  • Seattle, WA
  • NPI 1689179293
  NPD (past)
• Brian D Lueth, M.D.

  • Ophthalmology Physician
  • Everett, WA
  • NPI 1154345684
  NPD (past)
• Roger A Niva, M.D.

  • Ophthalmology Physician
  • Seattle, WA
  • NPI 1790936771
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1982626974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 HOYT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014919",
            "telephone_number": "425-259-2020",
            "fax_number": "425-259-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 HOYT AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014919",
            "telephone_number": "425-259-2020",
            "fax_number": "425-259-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS EYE SURGERY CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "JOSELOVITZ",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "425-259-2020"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "600630040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ngoc-Binh Phung, ARNP
• Chhovy Him Phut, LMP
• Physical Rehabilitation & Wellness Center, PLLC
• Physical Rehabilitation and Wellness Center
• Physicians Eye Clinic, PLLC
• Physiotherapy Associates Inc
• Delaney Hope Pickard
• Joshua Willis Pickett, RN
• Holly Pickler, RN
• Erin Picolet, DNP, CNM, APRN

• Ambulatory Surgical Clinic/Center in Everett, WA
• Providers in Everett, 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 Dec 12, 2013; 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.