Pacific Retina Center Pllc
NPI #1184191603 in Renton, Washington
Provider Information
- NPI Number
- 1184191603
- Entity Type
- Organization
- Organization Name
- Pacific Retina Center Pllc
- Primary Specialty
- Ophthalmology - Retina Specialist
- Enumeration Date
- Nov 1, 2018
- Last Updated
- Nov 24, 2024
Practice Location
- Address
- 1412 SW 43RD ST
- City
- Renton
- State
- Washington
- ZIP Code
- 98057-4803
- Phone
- (910) 742-7427
Authorized Official
- Name
- JAMISON R RIDGELEY, MD
- Title
- MANAGER
- Phone
- (910) 742-7427
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology - Retina Specialist — Retina Specialist |
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