Provider Demographics
NPI:1467588657
Name:LOMAS EYE CARE CENTER P.L.L.C.
Entity Type:Organization
Organization Name:LOMAS EYE CARE CENTER P.L.L.C.
Other - Org Name:LOMAS SURGERY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:425-524-0948
Mailing Address - Street 1:17800 TALBOT RD S
Mailing Address - Street 2:SUITE A
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-5740
Mailing Address - Country:US
Mailing Address - Phone:425-255-0986
Mailing Address - Fax:425-271-5703
Practice Address - Street 1:17800 TALBOT RD S
Practice Address - Street 2:SUITE A
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5740
Practice Address - Country:US
Practice Address - Phone:425-255-0986
Practice Address - Fax:425-271-5703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602 254 367(001786)261QS0132X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAL09287OtherREGENCE
WAP00080131OtherRAILROAD MEDICARE
WAL09287OtherREGENCE