<Unavail>

LBN: Proliance Surgeons, Inc., P.S.
<Unavail> is an health care organization with primary practice located at 17130 Avondale Way Ne Ste 111 , Redmond WA 98052-4455. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Ambulatory Health Care Facilities / Multi-Specialty. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty. Proliance Surgeons, Inc., P.S. can be contacted via phone (425) 885-6600, or through Pleasant, Cori M. via phone (206) 838-2585.

Contact Information

Primary practice address
17130 Avondale Way Ne Ste 111 Redmond WA 98052-4455
Phone: (425) 885-6600
Fax: (425) 885-6580
Website:
Map and Directions
Authorized official contact:
Name: Pleasant, Cori M.
Phone: (206) 838-2585

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 601484763 Washington
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 601484763 Washington
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1265986376
LBN Legal business name Proliance Surgeons, Inc., P.S.
DBA Doing business as <Unavail>
Authorized official Pleasant, Cori M.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2016
Last updated Aug 22nd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265986376 NPPES
Washington Other 222338 WA STATE L & I
Washington MEDICAID 2001403 WA STATE L & I

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