Retina Specialists Northwest, PLLC

Primary specialty

Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X

Legal business name

RETINA SPECIALISTS NORTHWEST, PLLC

Practice address

33915 1St Way S
Ste 120
Federal Way, WA 98003-4551

Phone

(253) 517-3334

Fax

(253) 517-5695

NPI assigned

Nov 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Brenda A Myers Powell, MD, PHD

Title

President

Phone

(253) 517-3334

Specialties & licenses 1

Addresses

Electronic endpoints 1

Interoperability endpoints

• Direct secure messaging: bmyerspowell@retinaspecialistsnw.intellechartdirect.net

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600992000000",
    "number": "1992040240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33915 1ST WAY S",
            "address_2": "STE 120",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034551",
            "telephone_number": "253-517-3334",
            "fax_number": "253-517-5695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33915 1ST WAY S",
            "address_2": "STE 120",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034551",
            "telephone_number": "253-517-3334",
            "fax_number": "253-517-5695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA SPECIALISTS NORTHWEST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A",
        "authorized_official_last_name": "MYERS POWELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-517-3334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmyerspowell@retinaspecialistsnw.intellechartdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "33915 1st Way S",
            "address_2": "Ste 120",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980034551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.