# THE RETINA SURGERY CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Retina Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457670648
- **Authorized official:** DR. DAVID SAPERSTEIN (MD)
- **Authorized official phone:** (206) 215-3850

## Contact information

- **Practice address:** 1750 112TH AVE NE STE D050, BELLEVUE, WA 98004-3779
- **Practice address phone:** (206) 215-3850
- **Practice address fax:** (206) 215-3870
- **Mailing address:** 22232 17TH AVE SE STE 308, BOTHELL, WA 98021-7425
- **Mailing address phone:** (206) 215-3850
- **Mailing address fax:** (206) 215-3870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | PENDING | WA | Yes |

## Other

- **Enumeration date:** 05/27/2010
- **Last updated:** 08/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2016389 | — | WA |