# NORTHWEST GLAUCOMA AND CATARACT CONSULTANTS, LLC

> 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
- **Other names:** Northwest Glaucoma and Cataract Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811445018
- **Authorized official:** JOHN WHITEHEAD M.D. (MEMBER/OWNER)
- **Authorized official phone:** (206) 622-2020

## Contact information

- **Practice address:** 1229 MADISON ST, SUITE 1250, SEATTLE, WA 98104-3586
- **Practice address phone:** (206) 622-2020
- **Practice address fax:** (206) 223-1963
- **Mailing address:** 1229 MADISON ST, SUITE 1250, SEATTLE, WA 98104-3586
- **Mailing address phone:** (206) 622-2020
- **Mailing address fax:** (206) 223-1963

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASF.FS 60685668 | WA | Yes |
| 261QS0132X | Ophthalmologic Surgery Clinic/Center | ASF.FS 60685668 | WA | — |

## Other

- **Enumeration date:** 09/15/2016
- **Last updated:** 11/18/2016