# AESTHETIC EYE ASSOCIATES PS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AESTHETIC EYE ASSOCIATES PS
- **Other names:** Aesthetic Eye Associates ASC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1548713563
- **Legal business name:** AESTHETIC EYE ASSOCIATES PS
- **Authorized official:** JANET JORDAN (ADMINISTRATOR)
- **Authorized official phone:** (425) 216-7200

## Contact information

- **Practice address:** 625 4TH AVE STE 301, KIRKLAND, WA 98033-9028
- **Practice address phone:** (425) 216-7200
- **Practice address fax:** (425) 216-7272
- **Mailing address:** 625 4TH AVE STE 301, KIRKLAND, WA 98033-9028
- **Mailing address phone:** (425) 216-7200
- **Mailing address fax:** (425) 216-7272

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASF.FS.60574719 | WA | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | ASF.FS.60574719 | WA | — |

## Other

- **Enumeration date:** 07/26/2016
- **Last updated:** 07/29/2016
