The Eye Surgeons Group Ambulatory Surgery Center
LBN: Proliance Surgeons, Inc., P.S.
The Eye Surgeons Group Ambulatory Surgery Center is an health care organization with primary practice located at 502 S M St , Tacoma WA 98405-3728. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Proliance Surgeons, Inc., P.S. can be contacted via phone (253) 301-4953, or through Fitzgerald, David G. via phone (206) 838-2599.
Contact Information
Primary practice address
502 S M St
Tacoma WA 98405-3728
Phone: (253) 301-4953
Fax: (253) 301-4845
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 601484763 | Washington |
Profile Details
| NPI number | 1780807081 |
|---|---|
| LBN Legal business name | Proliance Surgeons, Inc., P.S. |
| DBA Doing business as | The Eye Surgeons Group Ambulatory Surgery Center |
| Authorized official | Fitzgerald, David G. |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 11th, 2007 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780807081 | NPPES |
| Washington | Other | 0375352 | WA STATE L & I |
| Washington | MEDICAID | 7037880 | WA STATE L & I |
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