Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Organization
PROLIANCE SURGEONS, INC., P.S.
Active
Other names
Proliance The Children and Family Eye Doctors
Organization subpart
No
Provider details
NPI number
Authorized official
CORI M. PLEASANT (MGR PROVIDER RELATIONS/ENROLLMENT)
(206) 838-2585
Entity
Organization
Contact information
Practice address
17130 AVONDALE WAY NE STE 111, REDMOND, WA 98052-4455
(425) 885-6600
(425) 885-6580
Mailing address
17130 AVONDALE WAY NE STE 111, REDMOND, WA 98052-4455
(425) 885-6600
(425) 885-6580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
601484763
WA
207W00000X
Ophthalmology Physician
Primary
601484763
WA
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2001403
—
WA
01
—
222338
WA STATE L & I
WA
Enumeration date
08/05/2016
Last updated
08/22/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up