Organization
RETINA INSTITUTE, PLLC
Active
Other names
Retina Institute of Washington
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE J KO M.D. (MANAGING DIRECTOR)
(425) 228-6262
Entity
Organization
Contact information
Practice address
4300 TALBOT RD S STE 300, RENTON, WA 98055-6238
(425) 228-6262
(425) 228-6260
Mailing address
4300 TALBOT RD S STE 300, RENTON, WA 98055-6238
(425) 228-6262
(425) 228-6260
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD60021230
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528303849
MEDICARE NPI
—
05
—
2026169
—
WA
Enumeration date
11/28/2012
Last updated
01/03/2024
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